FORM 1023-EZ for RIO VISTA YSA

Field Data
EIN 86-3192723
Case Number EO-2021148-000070
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RIO VISTA YSA
Organization’s Mailing Address 3760 PREAKNESS CT
City CLEBURNE
State TX
ZIP 76033
Accounting period End 12
Primary contact name BEENA SOIEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN CONNER
DIRECTOR
3760 PREAKNESS CT
CLEBURNE TX 76033

Officer/Director/Trustee Two

CHELSEA LEWIS
DIRECTOR
5000 W FM 916
RIO VISTA TX 76093

Officer/Director/Trustee Three

KIMBERLY BLACK
DIRECTOR
7805 WESTOVER HILLS DR
RIO VISTA TX 76093

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
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 RYAN CONNER
Signature Title DIRECTOR
Signature Date 5/20/2021

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