FORM 1023-EZ for ELEVATE NEXTGEN

Field Data
EIN 82-2314535
Case Number EO-2017215-000040
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELEVATE NEXTGEN
Organization’s Mailing Address 414 HORACE AVENUE NORTH
City THIEF RIVER FALLS
State MN
ZIP 56701
Accounting period End 12
Primary contact name MATTHEW TOWSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW TOWSE
DIRECTOR
303 MERRIAM AVENUE NORTH
THIEF RIVER FALLS MN 56701

Officer/Director/Trustee Two

FABIAN TUNBERG
DIRECTOR
512 NORTH DULUTH AVENUE
THIEF RIVER FALLS MN 56701

Officer/Director/Trustee Three

ANTON BERGEE
DIRECTOR
12279 STATE HWY 32 NE
THIEF RIVER FALLS MN 56701

Officer/Director/Trustee Four

MARY SIECKERT
DIRECTOR
422 HORACE AVENUE NORTH
THIEF RIVER FALLS MN 56701

Officer/Director/Trustee Five

CHARLIE VAN SCHAICK
DIRECTOR
107 CIRCLE DRIVE
THIEF RIVER FALLS MN 56701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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