FORM 1023-EZ for WISCONSIN YOUTH RUGBY INC

Field Data
EIN 85-2538940
Case Number EO-2020311-000020
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WISCONSIN YOUTH RUGBY INC
Organization’s Mailing Address 1005 FLINT RD
City STOUGHTON
State WI
ZIP 53589
Accounting period End 12
Primary contact name RICHARD BERGEMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD BERGEMANN
PRESIDENT
1005 FLINT RD
STOUGHTON WI 53589

Officer/Director/Trustee Two

MATTHEW L GOETSCH
TREASURER
6396 CTY RD R
DENMARK WI 54208

Officer/Director/Trustee Three

BRIAN GLEASON
VICE PRESIDENT
W15298
TIGERTON WI 54486

Officer/Director/Trustee Four

DAN ZEROTH
DIRECTOR
W223 S3061 RACINE AVE
WAUKESHA WI 53186

Officer/Director/Trustee Five

BARRY HOLLOWAY
DIRECTOR
3417 S BURRELL ST
MILWAUKE WI 53207

Organization’s website WWW.WIYOUTHRUGBY.ORG
Organization’s email INFO@WIYOUTHRUGBY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2020
Organization Incorporation State WI
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: Yes
Religious: No
Educational: No
Scientific: No
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 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 MATTHEW L GOETSCH
Signature Title TREASURER
Signature Date 11/4/2020

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