FORM 1023-EZ for RIVERSIDE WILDLIFE REHABILITATION INC

Field Data
EIN 87-1854598
Case Number EO-2021209-000326
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RIVERSIDE WILDLIFE REHABILITATION INC
Organization’s Mailing Address 6780 CALAIS AVENUE
City PORT ST JOHN
State FL
ZIP 32927
Accounting period End 12
Primary contact name JANE COLVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANE COLVIN
PRESIDENT
6780 CALAIS AVENUE
PORT ST JOHN FL 32927

Officer/Director/Trustee Two

ALEXANDER COLVIN
VICE PRESIDENT
6780 CALAIS AVENUE
PORT ST JOHN FL 32927

Officer/Director/Trustee Three

DYLAN COLVIN
TREASURER
2912 BEACH LANE 200-103
TITUSVILLE FL 32780

Organization’s website
Organization’s email RIVERSIDEWILDREHAB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANE COLVIN
Signature Title PRESIDENT
Signature Date 7/26/2021

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