FORM 1023-EZ for ELEVATED PRINCIPLES INC

Field Data
EIN 81-3497719
Case Number EO-2016351-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELEVATED PRINCIPLES INC
Organization’s Mailing Address 3731 GIDDINGS AVE SE
City GRAND RAPIDS
State MI
ZIP 49508
Accounting period End 12
Primary contact name DOMINIC SHANNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOMINIC SHANNON
PRESIDENT
3731 GIDDINGS AVE SE
GRAND RAPIDS MI 49508

Officer/Director/Trustee Two

GEORGE RIOS
DIRECTOR
3731 GIDDINGS AVE SE
GRAND RAPIDS MI 49508

Officer/Director/Trustee Three

COVIER CARTER
DIRECTOR
3731 GIDDINGS AVE SE
GRAND RAPIDS MI 49508

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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