FORM 1023-EZ for RIVIERA ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 47-1870803
Case Number EO-2015021-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVIERA ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 10505 FAIRWAY DRIVE
City KELSEYVILLE
State CA
ZIP 95451-9576
Accounting period End 6
Primary contact name DIANA DAVIDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIANA DAVIDSON
PRINCIPAL
10505 FAIRWAY DRIVE
KELSEYVILLE CA 95451-9576

Officer/Director/Trustee Two

PAMELA HOBBS
PRESIDENT
10505 FAIRWAY DRIVE
KELSEYVILLE CA 95451-9576

Officer/Director/Trustee Three

CAROL ANDERSON
VICE PRESIDENT
10505 FAIRWAY DRIVE
KELSEYVILLE CA 95451-9576

Officer/Director/Trustee Four

MARLENE HOEFLER
SECRETARY
10505 FAIRWAY DRIVE
KELSEYVILLE CA 95451-9576

Officer/Director/Trustee Five

NICOLE PROFIT
TREASURER
10505 FAIRWAY DRIVE
KELSEYVILLE CA 95451-9576

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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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