FORM 1023-EZ for JESTERS RUGBY FOOTBALL CLUB USA

Field Data
EIN 81-3811224
Case Number EO-2016258-000117
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JESTERS RUGBY FOOTBALL CLUB USA
Organization’s Mailing Address 4847 HOPYARD ROAD SUITE 4-213
City PLEASANTON
State CA
ZIP 94588
Accounting period End 8
Primary contact name ROBERT BRAKEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK LOCHER
PRESIDENT
3615 ASHWOOD DRIVE
PLEASANTON CA 94588

Officer/Director/Trustee Two

JOHN COMISKEY
SECRETARY
3819 VINEYARD AVENUE
PLEASANTON CA 94566

Officer/Director/Trustee Three

ROBERT BRAKEMAN
TREASURER
7265 CASTLE DRIVE
DUBLIN CA 94568

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2016
Organization Incorporation State CA
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: 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 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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