FORM 1023-EZ for BETHESDA ROOSTERS HIGH SCHOOL YOUTH RUGBY CLUB FOR BOYS GIRLS

Field Data
EIN 82-1641659
Case Number EO-2017177-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETHESDA ROOSTERS HIGH SCHOOL YOUTH RUGBY CLUB FOR BOYS GIRLS
Organization’s Mailing Address 12030 COLDSTREAM DRIVE
City POTOMAC
State MD
ZIP 20854
Accounting period End 12
Primary contact name DAVID OROCHENA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN-LOUIS MOURES
DIRECTOR/PRESIDENT
9708 RUTLEY ROAD
BETHESDA MD 20817

Officer/Director/Trustee Two

JONATHAN TURAK
DIRECTOR/VICE PRESIDENT
7534 WEST LAKE TERRACE
BETHESDA MD 20817

Officer/Director/Trustee Three

DAVID OROCHENA
DIR/SECRETARY/TREASURER
12030 COLDSTREAM DRIVE
POTOMAC MD 20854

Organization’s website N/A
Organization’s email RUGBY@OROCHENACONSULTING.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2017
Organization Incorporation State MD
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: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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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