FORM 1023-EZ for RIVERSIDE RBI CLUB INC

Field Data
EIN 84-4830248
Case Number EO-2020076-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RIVERSIDE RBI CLUB INC
Organization’s Mailing Address 585 RIVERSIDE DRIVE
City PAINESVILLE
State OH
ZIP 44077-5323
Accounting period End 6
Primary contact name MICHELLE PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE BRENNAN
PRESIDENT
7692 KEYSTONE DRIVE
PAINESVILLE OH 44077-8757

Officer/Director/Trustee Two

HEATHER LASTORIA
VICE PRESIDENT
10271 KARABOO TRAIL
PAINESVILLE OH 44077-8743

Officer/Director/Trustee Three

MICHELLE PERRY
TREASURER
12101 SUMMERWOOD DRIVE
PAINESVILLE OH 44077-8521

Officer/Director/Trustee Four

DANIELLE KNIGHT
SECRETARY
8371 HERMITAGE ROAD
PAINESVILLE OH 44077-9125

Organization’s website
Organization’s email RHSRBICLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHELLE PERRY
Signature Title TREASURER
Signature Date 3/12/2020

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