FORM 1023-EZ for INDIANA RUGBY REFEREES SOCIETY INC

Field Data
EIN 46-3667622
Case Number EO-2015069-000142
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDIANA RUGBY REFEREES SOCIETY INC
Organization’s Mailing Address 2112 AUTUMN RUN
City FORT WAYNE
State IN
ZIP 46845-8899
Accounting period End 12
Primary contact name MATTHEW A DOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFF NEWPORT
PRESIDENT
2112 AUTUMN RUN
FORT WAYNE IN 46845-8899

Officer/Director/Trustee Two

MARK CARUSO
TREASURER
301 N LAKE STREET
WARSAW IN 46580

Organization’s website INDIANARRS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2013
Organization Incorporation State IN
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: No
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 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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