FORM 1023-EZ for RIO RICO HISTORICAL SOCIETY

Field Data
EIN 47-5307082
Case Number EO-2016078-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIO RICO HISTORICAL SOCIETY
Organization’s Mailing Address PO BOX 4352
City RIO RICO
State AZ
ZIP 85648-4352
Accounting period End 12
Primary contact name DWIGHT THIBODEAUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DWIGHT THIBODEAUX
PRESIDENT
914 VIA SELVA
RIO RICO AZ 85648

Officer/Director/Trustee Two

EILEEN DUKE
VICE PRESIDENT
605 CAMINO KANSAS
RIO RICO AZ 85648

Officer/Director/Trustee Three

ROBERT PATTISON
TREASURER
54 CAMINO PESQUEIRA
RIO RICO AZ 85648

Officer/Director/Trustee Four

BERNICE MEDLEY
SECRETARY
362 VIA ALOE VERA
RIO RICO AZ 85648

Officer/Director/Trustee Five

MANNY TRUJILLO
MEMBER AT LARGE
1542 NORTH AURORA DRIVE
NOGALES AZ 85621

Organization’s website WWW.RIORICOHISTORICALSOCIETY.ORG
Organization’s email RIORICOHISTORIAN@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 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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