FORM 1023-EZ for RIVERSIDE ELEMENTARY SUPPORT ORGANIZATION

Field Data
EIN 33-1101952
Case Number EO-2018024-000123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RIVERSIDE ELEMENTARY SUPPORT ORGANIZATION
Organization’s Mailing Address 220 SCHNOBELEN ST
City RIVERSIDE
State IA
ZIP 52327
Accounting period End 12
Primary contact name SAMANTHA HOLDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA MELLER
PRESIDENT
101 CHERRY LN
RIVERSIDE IA 52327

Officer/Director/Trustee Two

VERA SCHAACK
VICE PRESIDENT
332 BLACKBERRY
RIVERSIDE IA 52327

Officer/Director/Trustee Three

TIFFANY JENSEN
SECRETARY
180 N GLASGOW
RIVERSIDE IA 52327

Officer/Director/Trustee Four

SAMANTHA HOLDEN
TREASURER
3123 115TH ST
RIVERSIDE IA 52327

Officer/Director/Trustee Five

JULIE ROBINSON
BOARD OF DIRECTORS
321 ST MARYS ST
RIVERSIDE IA 52327

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/04
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SAMANTHA HOLDEN
Signature Title TREASURER
Signature Date 1/21/18

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