FORM 1023-EZ for TEENS RISE FOUNDATION

Field Data
EIN 83-4253684
Case Number EO-2019137-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEENS RISE FOUNDATION
Organization’s Mailing Address 7514 GIRARD AVE UNIT 1163
City LA JOLLA
State CA
ZIP 92037
Accounting period End 6
Primary contact name AUSTIN EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM STONE
CHAIR
7514 GIRARD AVE UNIT 1163
LA JOLLA CA 92037

Officer/Director/Trustee Two

MONICA ESQUEDA
VICE-CHAIR
7514 GIRARD AVE UNIT 1163
LA JOLLA CA 92037

Officer/Director/Trustee Three

TYLER LOPEZ
SECRETARY
7514 GIRARD AVE UNIT 1163
LA JOLLA CA 92037

Officer/Director/Trustee Four

WILLIAM AVERY
TREASURER
7514 GIRARD AVE UNIT 1163
LA JOLLA CA 92037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SAM STONE
Signature Title CHAIR
Signature Date 5/15/19

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