FORM 1023-EZ for RILEYS WISHES

Field Data
EIN 46-1780015
Case Number EO-2014310-000107
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RILEYS WISHES
Organization’s Mailing Address PO BOX 52
City TICONDEROGA
State NY
ZIP 12883
Accounting period End 12
Primary contact name PATRICK IDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANN KNIGHT
PRESIDENT
91 PARK AVENUE
TICONDEROGA NY 12883

Officer/Director/Trustee Two

STEPHANIE BACKUS
VICE PRESIDENT
9998 LAKESIDE DRIVE
HAGUE NY 12836

Officer/Director/Trustee Three

DUSTINA WIKTORKO
TREASURER
14 BATTERY STREET
TICONDEROGA NY 12883

Officer/Director/Trustee Four

JOSEPH CYPHERS
SECRETARY
91 PARK AVENUE
TICONDEROGA NY 12883

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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
Signature Title
Signature Date

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