FORM 1023-EZ for THE COUNTY OF RIVERSIDE DEPARTMENTOF HEALTH AUXILIARY

Field Data
EIN 90-0588876
Case Number EO-2015026-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE COUNTY OF RIVERSIDE DEPARTMENTOF HEALTH AUXILIARY
Organization’s Mailing Address 4065 COUNTY CIRCLE DR STE 205
City RIVERSIDE
State CA
ZIP 92503
Accounting period End 5
Primary contact name ABELINA ECKROTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEE OROPEZA
PRESIDENT
3980 ADAMS ST
RIVERSIDE CA 92504

Officer/Director/Trustee Two

LANA KRESKY
VICE PRESIDENT
23559 ROSEMEADOW COURT
MORENO VALLEY CA 92557

Officer/Director/Trustee Three

ABELINA ECKROTH
TREASURER
9505 ARLINGTON AVE UNIT 7
RIVERSIDE CA 92503

Officer/Director/Trustee Four

IDALIA OROPEZA
SECRETARY
3980 ADAMS ST
RIVERSIDE CA 92504

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/1976
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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