FORM 1023-EZ for RIVER VALLEY SPECIAL NEEDS ACTIVITYCENTER

Field Data
EIN 81-2923331
Case Number EO-2017254-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVER VALLEY SPECIAL NEEDS ACTIVITYCENTER
Organization’s Mailing Address 12 N 11TH ST
City FORT SMITH
State AR
ZIP 72901
Accounting period End 12
Primary contact name AMY GIBBONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY GIBBONS
PRESIDENT
11112 VISTA RIDGE CT
FORT SMITH AR 72916

Officer/Director/Trustee Two

SARA REED
VICE PRESIDENT
1122 N 13TH
FORT SMITH AR 72901

Officer/Director/Trustee Three

SUZZANE GOSCH
SECRETARY/TREASURER
2000 DODSON AVE
FORT SMITH AR 72901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2016
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
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
Signature Title
Signature Date

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