FORM 1023-EZ for RAGE BOXING AND FITNESS CLUB INC

Field Data
EIN 81-1036541
Case Number EO-2017005-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RAGE BOXING AND FITNESS CLUB INC
Organization’s Mailing Address PO BOX 274
City DIXON
State IL
ZIP 61021-0274
Accounting period End 12
Primary contact name SARA RUMBOLZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRUCE RUMBOLZ
OWNER, BOARD MEMBER
807 E 16TH ST
STERLING IL 61081-2627

Officer/Director/Trustee Two

SARA RUMBOLZ
CO OWNER, BOARD MEMBER
807 E 16TH ST
STERLING IL 61081-2627

Officer/Director/Trustee Three

GARY RUMBOLZ
BOARD MEMBER
25500 INDIAN RIDGE RD
STERLING IL 61081

Organization’s website
Organization’s email RUMBOLZ@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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