FORM 1023-EZ for MEDINA RUGBY INC

Field Data
EIN 84-3821246
Case Number EO-2020069-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDINA RUGBY INC
Organization’s Mailing Address 6169 STONE RD
City MEDINA
State OH
ZIP 44256
Accounting period End 12
Primary contact name BRIAN SCERCA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN SCERCA
PRESIDENT/TREASURER/DIRECTOR
6169 STONE RD
MEDINA OH 44256

Officer/Director/Trustee Two

SAM PIETRANGELO
VICE PRESIDENT/DIRECTOR
855 KENNER DR
MEDINA OH 44256

Officer/Director/Trustee Three

CHALEE FRONK
SECRETARY
1198 WARWICH CT
MEDINA OH 44256

Officer/Director/Trustee Four

STEVE MILLER
DIRECTOR
4995 MAPLE HTS DR
MEDINA OH 44256

Organization’s website HTTP://WWW.MEDINARUGBY.COM
Organization’s email MEDINARUGBY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2019
Organization Incorporation State OH
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: 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 BRIAN SCERCA
Signature Title PRES/TREAS/DIRECTOR
Signature Date 3/5/2020

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