FORM 1023-EZ for THE RILEY CHARLES SETTERGREN FOUNDATION INC

Field Data
EIN 82-4155494
Case Number EO-2018029-000463
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE RILEY CHARLES SETTERGREN FOUNDATION INC
Organization’s Mailing Address 8511 N 675 E
City WILKINSON
State IN
ZIP 46186
Accounting period End 12
Primary contact name JOHN SETTERGREN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SETTERGREN JR
DIRECTOR
8511 N 675 E
WILKINSON IN 46186

Officer/Director/Trustee Two

JEANNINE GRAY
DIRECTOR
501 MAIN STREET
SHIRLEY IN 47384

Officer/Director/Trustee Three

TAMMY SETTERGREN
DIRECT
8511 N 675 E
WILKINSON IN 46186

Officer/Director/Trustee Four

DARREL BOSSUNG
DIRECTOR
3911 E 200 N
LAFAYETTE IN 47905

Officer/Director/Trustee Five

JOHN SETTERGREN III
DIRECTOR
40880 N MAJESTY CT
ANTHEM AZ 85086

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 JOHN SETTERGREN JR
Signature Title DIRECTOR
Signature Date 1/26/18

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