FORM 1023-EZ for RIO FC

Field Data
EIN 47-3067918
Case Number EO-2015056-000131
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIO FC
Organization’s Mailing Address 4636 S HIGHWAY 95
City FORT MOHAVE
State AZ
ZIP 86426
Accounting period End 12
Primary contact name KIM CAMACHO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATT CAMACHO
PRESIDENT
4636 S HIGHWAY 95
FORT MOHAVE AZ 86426

Officer/Director/Trustee Two

KIM CAMACHO
CHIEF FINANCIAL OFFICER
4636 S HIGHWAY 95
FORT MOHAVE AZ 86426

Officer/Director/Trustee Three

TIM MORAN
BOARD OF DIRECTORS
4636 S HIGHWAY 95
FORT MOHAVE AZ 86426

Officer/Director/Trustee Four

SUSAN KING
BOARD OF DIRECTORS
4636 S HIGHWAY 95
FORT MOHAVE AZ 86426

Officer/Director/Trustee Five

BRIAN WOMACK
BOARD OF DIRECTORS
4636 S HIGHWAY 95
FORT MOHAVE AZ 86426

Organization’s website
Organization’s email KIM.CAMACHO@MAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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