FORM 1023-EZ for RISING YOUTH MENTORSHIP INITIATIVE#NAME?

Field Data
EIN 82-4250718
Case Number EO-2018106-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISING YOUTH MENTORSHIP INITIATIVE#NAME?
Organization’s Mailing Address 1400 ALPINE CREEK DRIVE
City RALEIGH
State NC
ZIP 27614
Accounting period End 12
Primary contact name RAISA MATHIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAISA MATHIES
CO-FOUNDER
1400 ALPINE CREEK DRIVE
RALEIGH NC 27614

Officer/Director/Trustee Two

YAH PARWON
CO-FOUNDER
1400 ALPINE CREEK DRIVE
RALEIGH NC 27614

Officer/Director/Trustee Three

KELLY LEE
BOARD OF DIRECTOR
7731 STONEHENGE FARM LANE
RALEIGH NC 27613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 RAISA MATHIES
Signature Title CO-FOUNDER
Signature Date 4/6/18
EIN 82-4250718
Case Number EO-2018106-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISING YOUTH MENTORSHIP INITIATIVE #NAME?
Organization’s Mailing Address 1400 ALPINE CREEK DRIVE
City RALEIGH
State NC
ZIP 27614
Accounting period End 12
Primary contact name RAISA MATHIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAISA MATHIES
CO-FOUNDER
1400 ALPINE CREEK DRIVE
RALEIGH NC 27614

Officer/Director/Trustee Two

YAH PARWON
CO-FOUNDER
1400 ALPINE CREEK DRIVE
RALEIGH NC 27614

Officer/Director/Trustee Three

KELLY LEE
BOARD OF DIRECTOR
7731 STONEHENGE FARM LANE
RALEIGH NC 27613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 RAISA MATHIES
Signature Title CO-FOUNDER
Signature Date 4/6/18

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