FORM 1023-EZ for SOUTHSIDE BARBARIANS RUGBY FOOTBALLCLUB

Field Data
EIN 83-1788998
Case Number EO-2019060-000411
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHSIDE BARBARIANS RUGBY FOOTBALLCLUB
Organization’s Mailing Address 10647 ALAMEDA AVENUE
City INVER GROVE HEIGHTS
State MN
ZIP 55077-5443
Accounting period End 2
Primary contact name BAYERT J SALVERDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BAYERT SALVERDA
CFO/COO
2202 EAST 32ND STREET APARTMENT 2
MINNEAPOLIS MN 55407-5569

Officer/Director/Trustee Two

ERIC SALVERDA
PRESIDENT
10647 ALAMEDA AVENUE
INVER GROVE HEIGHTS MN 55077

Organization’s website WWW.SOUTHSIDEBARBARIANS.COM
Organization’s email SOUTHSIDEBARBARIANS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 BAYERT SALVERDA
Signature Title CFO/COO
Signature Date 2/27/19

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