FORM 1023-EZ for RIVIERA RESCUE

Field Data
EIN 84-4004845
Case Number EO-2019357-000479
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RIVIERA RESCUE
Organization’s Mailing Address 772 RIVIERA DR
City CANYON LAKE
State TX
ZIP 78133
Accounting period End 12
Primary contact name JANE MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANET MARTIN
PRESIDENT
772 RIVIERA DRIVE
CANYON LAKE TX 78133

Officer/Director/Trustee Two

JILL SUZANNA KING
VP
38 PINNACLE WAY
CARROLTON GA 30117

Officer/Director/Trustee Three

STEPHEN BERKERIDGE
ACCOUNTANT
912 WESTERLY CT
NEWARK DE 19702

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 JANET MARTIN
Signature Title PRESIDENT
Signature Date 12/20/2019

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