FORM 1023-EZ for RIVERSIDE STEM ACADEMY FOUNDATION

Field Data
EIN 81-3282378
Case Number EO-2016215-000011
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERSIDE STEM ACADEMY FOUNDATION
Organization’s Mailing Address 4466 MOUNT VERNON AVENUE
City RIVERSIDE
State CA
ZIP 92507-4864
Accounting period End 6
Primary contact name MELODY CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELODY CLARK
PRESIDENT
4466 MOUNT VERNON AVE
RIVERSIDE CA 92507-4864

Officer/Director/Trustee Two

SARAH SIMPSON
SECRETARY
4466 MOUNT VERNON AVE
RIVERSIDE CA 92507-4864

Officer/Director/Trustee Three

CARL ROWE
TREASURER
4466 MOUNT VERNON AVE
RIVERSIDE CA 92507-4864

Organization’s website N/A
Organization’s email FOUNDATION@RIVERSIDESTEMACADEMY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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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