FORM 1023-EZ for KUTZTOWN SILVERBACKS HIGH SCHOOL RUGBY CLUB

Field Data
EIN 82-3681847
Case Number EO-2019058-000417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KUTZTOWN SILVERBACKS HIGH SCHOOL RUGBY CLUB
Organization’s Mailing Address 332 HIGHLAND AVE
City KUTZTOWN
State PA
ZIP 19530
Accounting period End 12
Primary contact name JANET CHLADNI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER JONES-LAPP
PRESIDENT
332 HIGHLAND AVE
KUTZTOWN PA 19530

Officer/Director/Trustee Two

JAMIE LAPP
VICE PRESIDENT
332 HIGHLAND AVE
KUTZTOWN PA 19530

Officer/Director/Trustee Three

JANET CHLADNI
TREASURER/SECRETARY
157 EAST MAIN ST
KUTZTOWN PA 19530

Officer/Director/Trustee Four

MARGARET FONTANESI
VICE PRESIDENT
8 PALMER LANE
KUTZTOWN PA 19530

Organization’s website
Organization’s email SILVERBACKSRFC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/19
Organization Incorporation State PA
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: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANET CHLADNI
Signature Title TREASURER/SECRETARY
Signature Date 2/25/19

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