FORM 1023-EZ for RIVERSIDE MEDICAL CENTER FOUNDATION

Field Data
EIN 46-4442424
Case Number EO-2014310-000548
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERSIDE MEDICAL CENTER FOUNDATION
Organization’s Mailing Address 1900 MAIN STREET
City FRANKLINTON
State LA
ZIP 70438-3688
Accounting period End 12
Primary contact name CLAIRE MCGUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

H CLAIRE MCGUIRE
HOSPITAL TRUSTEE
123 LAVINGHOUSE ROAD
FRANKLINTON LA 70438-4335

Officer/Director/Trustee Two

DIANNA GRAVES
TREASURER
47255 R J CREEL ROAD
FRANKLINTON LA 70438-5888

Officer/Director/Trustee Three

LIONEL JONES
HOSPITAL TRUSTEE
52565 HWY 60
FRANKLINTON LA 70427-0107

Officer/Director/Trustee Four

E KYLE MAGEE
CEO TRUSTEE
1900 MAIN STREET
FRANKLINTON LA 70438-3688

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2014
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T11 - Single Organization Support
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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