| Field | Data |
|---|---|
| EIN | 46-5654201 |
| Case Number | EO-2018057-000163 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | RIVERSIDE WILDLIFE REHABILITATION |
| Organization’s Mailing Address | 25270 SIMPSON ROAD |
| City | MENDON |
| State | MI |
| ZIP | 49072 |
| Accounting period End | 12 |
| Primary contact name | PATRICIA KLOOSTERMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
PATRICIA KLOOSTERMAN
DIRECTOR/OFFICER
25270 SIMPSON ROAD
MENDON MI 49072-9534
KRISTI VROBEL
TRUSTEE
56924 HODGES ROAD
COLON MI 49040-9508
DANIEL KLOOSTERMAN
TRUSTEE
72 N LIMESTONE
JAMESTOWN OH 45335-1135
DOUGLAS KLOOSTERMAN
TRUSTEE
25270 SIMPSON ROAD
MENDON MI 49072-9534
| Organization’s website | |
|---|---|
| Organization’s email | RIVERSIDEWILDLIFEREHAB@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/14/13 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D34 - Wildlife Sanctuary, Refuge |
| Organization’s purpose | Charitable: Yes 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 | 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 | PATRICIA KLOOSTERMAN |
| Signature Title | DIRECTOR/OFFICER |
| Signature Date | 2/22/18 |
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