FORM 1023-EZ for PENDLETON RUGBY INC

Field Data
EIN 84-3644179
Case Number EO-2020042-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PENDLETON RUGBY INC
Organization’s Mailing Address 1032 PENDLE HILL AVENUE
City PENDLETON
State IN
ZIP 46064
Accounting period End 9
Primary contact name ALISHEA HAWKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CURT TROUT
DIRECTOR OF COACHIG
1003 PENDLE HILL AVENUE
PENDLETON IN 46064

Officer/Director/Trustee Two

BETH BEELER
PRESIDENT
6651 S GREENSBORO PIKE
KNIGHTSTOWN IN 46148

Officer/Director/Trustee Three

MARKA PEDERSON
TREASURER
1216 WEST 700 SOUTH
PENDLETON IN 46064

Officer/Director/Trustee Four

KATE KASTER
SECRATARY
1777 RACCOON WAY
PENDLETON IN 46064

Officer/Director/Trustee Five

ALISHEA HAWKINS
EXECUTIVE DIRECTOR
1032 PENDLE HILL AVENUE
PENDLETON IN 46064

Organization’s website
Organization’s email PENDLETORUGBY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2019
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 ALISHEA HAWKINS
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/9/2020

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