FORM 1023-EZ for RIVERBANK GOLDEN AGERS

Field Data
EIN 77-0476177
Case Number EO-2015098-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERBANK GOLDEN AGERS
Organization’s Mailing Address 3932 WAIMEA LANE
City MODESTO
State CA
ZIP 95355
Accounting period End 6
Primary contact name DEE MULLIGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LUPE PADRON
VICE PRESIDENT
2926 GAMBLER HILL CT
RIVERBANK CA 95367

Officer/Director/Trustee Two

ELLIE DE JESUS
TRESURE
1101 FLOWER ST
DELHI CA 95315

Officer/Director/Trustee Three

DIANA AVERY
SECRETARY
1504 CABO DR
MODESTO CA 95357

Officer/Director/Trustee Four

DEE MULLIGAN
PRESIDENT
3932 WAIMEA LANE
MODESTO CA 95355

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2009
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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