FORM 1023-EZ for ELEVATE PROGRAM INC

Field Data
EIN 84-3083444
Case Number EO-2019289-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELEVATE PROGRAM INC
Organization’s Mailing Address 516 JONAGOLD CIRCLE
City MECHANICSBURG
State PA
ZIP 17055
Accounting period End 12
Primary contact name JENNIFER KUNTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER HOLLISTER
PRESIDENT/SECRETARY
3800 MARKET STREET
CAMP HILL PA 17011

Officer/Director/Trustee Two

JENNIFER KUNTZ
VICE PRESIDENT/TREASURER
516 JONAGOLD CIRCLE
MECHANICSBURG PA 17055

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/19
Organization Incorporation State PA
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: 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 Yes
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 JENNIFER KUNTZ
Signature Title VICE PRESIDENT/TREASURER
Signature Date 10/14/19

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