FORM 1023-EZ for CHARLESTON BLOCKADE RUGBY FOOTBALLCLUB INC

Field Data
EIN 46-0788457
Case Number EO-2018176-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHARLESTON BLOCKADE RUGBY FOOTBALLCLUB INC
Organization’s Mailing Address PO BOX 31901
City CHARLESTON
State SC
ZIP 29417-1901
Accounting period End 12
Primary contact name TAYLOR SHIFFLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAYLOR SHIFFLETT
PRESIDENT
24564 MONA AVE
CHARLESTON SC 29414-6413

Officer/Director/Trustee Two

HAL CUMMINGS
TREASURER
2441 SPRING GARDEN ST
CHARLESTON SC 29414-5535

Officer/Director/Trustee Three

CHRISTOPHER ZUVER
VICE PRESIDENT
310 BRANCH CREEK TRAIL
SUMMERVILLE SC 29483-5338

Officer/Director/Trustee Four

ANDY JARRETT
MATCH SECRETARY
228 BRAMBLEWOOD DR
SUMMERVILLE SC 29485-5409

Officer/Director/Trustee Five

JAY LANHAM
CLUB SECRETARY
1164 BEXLEY ST
NORTH CHARLESTON SC 29405-4729

Organization’s website CHARLESTONBLOCKADERUGBY.ORG
Organization’s email CHARLESTONBLOCKADE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/15
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 TAYLOR SHIFFLETT
Signature Title PRESIDENT
Signature Date 6/22/18
EIN 46-0788457
Case Number EO-2018176-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHARLESTON BLOCKADE RUGBY FOOTBALL CLUB INC
Organization’s Mailing Address PO BOX 31901
City CHARLESTON
State SC
ZIP 29417-1901
Accounting period End 12
Primary contact name TAYLOR SHIFFLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAYLOR SHIFFLETT
PRESIDENT
24564 MONA AVE
CHARLESTON SC 29414-6413

Officer/Director/Trustee Two

HAL CUMMINGS
TREASURER
2441 SPRING GARDEN ST
CHARLESTON SC 29414-5535

Officer/Director/Trustee Three

CHRISTOPHER ZUVER
VICE PRESIDENT
310 BRANCH CREEK TRAIL
SUMMERVILLE SC 29483-5338

Officer/Director/Trustee Four

ANDY JARRETT
MATCH SECRETARY
228 BRAMBLEWOOD DR
SUMMERVILLE SC 29485-5409

Officer/Director/Trustee Five

JAY LANHAM
CLUB SECRETARY
1164 BEXLEY ST
NORTH CHARLESTON SC 29405-4729

Organization’s website CHARLESTONBLOCKADERUGBY.ORG
Organization’s email CHARLESTONBLOCKADE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/15
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 TAYLOR SHIFFLETT
Signature Title PRESIDENT
Signature Date 6/22/18

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