FORM 1023-EZ for HILL COUNTRY BLUES RUGBY CLUB

Field Data
EIN 30-1202336
Case Number EO-2019273-000486
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HILL COUNTRY BLUES RUGBY CLUB
Organization’s Mailing Address 317 SIDNEY BAKER S SUITE 400-111
City KERRVILLE
State TX
ZIP 78028
Accounting period End 12
Primary contact name NANCY G HUDDLESTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER ALVAREZ CHEDZOY
DIRECTOR SEC & TREA
317 SIDNEY BAKER S STE 400-111
KERRVILLE TX 78028

Officer/Director/Trustee Two

WILLIAM FAHEY
DIRECTOR & PRES
190 RAMBLING CREEK ROAD
KERRVILLE TX 78028

Officer/Director/Trustee Three

CHARLES WATSON
DIRECTOR
277 HEIMANN HERBORT ROAD
FREDERICKSBURG TX 78624

Officer/Director/Trustee Four

NICHOLAS KLEIN
DIRECTOR
407 EAST CENTRE STREET
FREDERICKSBURG TX 78624

Officer/Director/Trustee Five

JONATHAN BARNES
DIRECTOR & VP
1409 THRILL HILL DRIVE
MOUNTAIN HOME TX 78058

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/19
Organization Incorporation State TX
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 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 CHRISTOPHER ALVAREZ CHEDZOY
Signature Title DIRECTOR SEC & TREA
Signature Date 9/27/19

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