FORM 1023-EZ for RIVIERA BAY CIVIC ASSOCIATION

Field Data
EIN 59-2742119
Case Number EO-2018226-000078
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RIVIERA BAY CIVIC ASSOCIATION
Organization’s Mailing Address PO BOX 55883
City ST PETERSBURG
State FL
ZIP 33732
Accounting period End 12
Primary contact name RICH PERFIDIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICH PERFIDIO
PRESIDENT
121 87TH AVE N
ST PETERSBURG FL 33702

Officer/Director/Trustee Two

VICKI SHUMAN
VICE PRESIDENT
225 81ST AVE NE
ST PETERSBURG FL 33702

Officer/Director/Trustee Three

LORI INTRAVICHIT
SECRETARY
336 89TH AVE N
ST PETERSBURG FL 33702

Officer/Director/Trustee Four

STEPHEN GOETZ
TREASURER
247 83RD AVE N
ST PETERSBURG FL 33702

Organization’s website HTTP://RBCANEWS.COM/
Organization’s email RICH.RBCA@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/60
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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 STEPHEN GOETZ
Signature Title TREASURER
Signature Date 8/12/18

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