FORM 1023-EZ for DANA RUGBY FOOTBALL CLUB

Field Data
EIN 46-3940130
Case Number EO-2014303-000020
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DANA RUGBY FOOTBALL CLUB
Organization’s Mailing Address 31602 VIA DULCINEA
City SAN JUAN CAPISTRANO
State CA
ZIP 92675
Accounting period End 10
Primary contact name KEITH FALK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEITH FALK
TREASURER
31602 VIA DULCINEA
SAN JUAN CAPISTRANO CA 92675

Officer/Director/Trustee Two

LARRY WAHL
PRESIDENT
2 AGIA
LAGUNA NIGUEL CA 92677

Officer/Director/Trustee Three

TONY GRIGORIOU
VICE PRESIDENT
15 SAN LUIS OBISPO
LADERA RANCH CA 92694

Officer/Director/Trustee Four

TIFFANY ARGANDA
SECRETARY
33801 SILVER LANTERN APT A
DANA POINT CA 92629-5364

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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