FORM 1023-EZ for RIVERSIDE HOMESCHOOL GROUP

Field Data
EIN 84-3479223
Case Number EO-2019305-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RIVERSIDE HOMESCHOOL GROUP
Organization’s Mailing Address W13431 SPUR FIVE
City SHELDON
State WI
ZIP 54766
Accounting period End 6
Primary contact name MICHAEL KOSNELLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL KONSELLA
ATHLETIC DIRECTOR
W13431 SPUR FIVE
SHELDON WI 54766

Officer/Director/Trustee Two

ANGELA WELSH
TREASURER
W15153 CTY RD S
GILMAN WI 54433

Officer/Director/Trustee Three

DEANNA LYBERT
COMMITTEE MEMBER
N2220 CTY RD G
CONRATH WI 54731

Officer/Director/Trustee Four

SARAH STUART
SECRETARY
N8782 HWY 73
GILMAN WI 54433

Officer/Director/Trustee Five

KIM KEEPERS
COMMITTEE MEMBER
N9047 STATE RD 73
SHELDON WI 54766

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2019
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL KONSELLA
Signature Title ATHLETIC DIRECTOR
Signature Date 10/30/2019

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