FORM 1023-EZ for RIVERSIDE JOINT COMMUNITY COLLABORATIVE

Field Data
EIN 84-2737759
Case Number EO-2019231-000456
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RIVERSIDE JOINT COMMUNITY COLLABORATIVE
Organization’s Mailing Address 1213 OLD HARSHMAN RD
City RIVERSIDE
State OH
ZIP 45431
Accounting period End 12
Primary contact name JULIA DENNING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON EVANS
PRESIDENT, DIRECTOR
5689 MAYVILLE DR
DAYTON OH 45432

Officer/Director/Trustee Two

SHELLEY SHEWMAKER
SECRETARY, DIRECTOR
301 SPINNING RD
RIVERSIDE OH 45431

Officer/Director/Trustee Three

JULIA DENNING
TREASURER, DIRECTOR
4435 SCHWINN DR
RIVERSIDE OH 45431

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 JULIA DENNING
Signature Title TREASURER, DIRECTOR
Signature Date 8/16/19

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