FORM 1023-EZ for USCS RUGBY INC

Field Data
EIN 47-2446941
Case Number EO-2014351-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name USCS RUGBY INC
Organization’s Mailing Address 501 BRENT LANE
City PENSACOLA
State FL
ZIP 32503
Accounting period End 12
Primary contact name ANDRE LAMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE LEGG
CHAIRMAN
123 D STREET SE
WASHINGTON DC DC 20003

Officer/Director/Trustee Two

MARCUS MICHLES II
SERGEANT AT ARMS
501 BRENT LANE
PENSACOLA FL 32503

Officer/Director/Trustee Three

LTG-R FRANK KEARNEY
OFFICER
11725-D SUMMERCHASE CIRCLE
RESTON VA 20194

Officer/Director/Trustee Four

COL-R MARK NEICE
TREASURER
6628 HIGH RIDGE PLACE
ALBUQUERQUE NM 87111

Officer/Director/Trustee Five

JOHN DEBLASIO
AUTHORIZED REPRESENTATIVE
1550 N STATE PKWY UNIT A1
CHICAGO IL 60610

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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