FORM 1023-EZ for KISKI VALLEY RUGBY

Field Data
EIN 82-1322845
Case Number EO-2017178-000153
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KISKI VALLEY RUGBY
Organization’s Mailing Address 808 TERRACE AVE
City APOLLO
State PA
ZIP 15613
Accounting period End 12
Primary contact name SETH ERWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SETH ERWIN
DIRECTOR OF OPERATIONS
808 TERRACE AVE
APOLLO PA 15613

Officer/Director/Trustee Two

LAURIE ERWIN
TREASURER
254 SHERMAN AVE
VANDERGRIFT PA 15690

Officer/Director/Trustee Three

ERICA HOULIHAN
ASSISTANT DIRECOR
1709 VILLAGE RD
PITTSBURGH PA 15205

Organization’s website WWW.KISKIVALLEYRUGBY.COM
Organization’s email SETH.R.ERWIN@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2017
Organization Incorporation State PA
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
Signature Title
Signature Date

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