FORM 1023-EZ for BRIGHTON YOUTH RUGBY ASSOCIATION

Field Data
EIN 83-3243435
Case Number EO-2019063-000415
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIGHTON YOUTH RUGBY ASSOCIATION
Organization’s Mailing Address 545 GRAIN COURT
City BRIGHTON
State CO
ZIP 80601
Accounting period End 12
Primary contact name DAMON BALCERAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF MCENTEE
PRESIDENT / CEO (CHAIRMAN)
545 GRAIN COURT
BRIGHTON CO 80601-5004

Officer/Director/Trustee Two

DAMON BALCERAK
VICE PRESIDENT / EXEC DIRECTOR
17999 E 160TH AVE
BRIGHTON CO 80601-8531

Officer/Director/Trustee Three

JEANETTE GALLAGHER
MARKETING OFFICER
4160 COMBINE PLACE
BRIGHTON CO 80601-4297

Officer/Director/Trustee Four

AMANDA BALCERAK
SECRETARY
17999 E 160TH AVE
BRIGHTON CO 80601-8531

Officer/Director/Trustee Five

ASHLEY SCHMIDT
TREASURER
4689 SPINNING WHEEL DRIVE
BRIGHTON CO 80601-4587

Organization’s website
Organization’s email BRIGHTONYOUTHRA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/19
Organization Incorporation State CO
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 DAMON BALCERAK
Signature Title VICE PRESIDENT / EXEC DIRECTOR
Signature Date 3/1/19

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