FORM 1023-EZ for MOUNT RAINIER SPORTS CLUB INC

Field Data
EIN 81-1751182
Case Number EO-2016078-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNT RAINIER SPORTS CLUB INC
Organization’s Mailing Address 53 RIDGE ROAD UNIT A
City GREENBELT
State MD
ZIP 20770
Accounting period End 12
Primary contact name DONALD KASSILKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES TAYLOR
DIRECTOR/PRESIDENT
5036 38TH STREET APT 2
HYATSSVILLE MD 20782

Officer/Director/Trustee Two

VINCENT OLIVER
DIRECTOR/TREASURER
3609 POGONIA COURT
HYATSSVILLE MD 20784

Officer/Director/Trustee Three

DAWN PEFLEY
DIRECTOR/SECRETARY
53 RIFGE ROAD UNIT A
GREENBELT MD 20770

Organization’s website
Organization’s email MRSCFOOTBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 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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