FORM 1023-EZ for RISE UP TEEN CENTER

Field Data
EIN 84-1892488
Case Number EO-2020002-000109
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISE UP TEEN CENTER
Organization’s Mailing Address 140 KERN RD
City FOWLERVILLE
State MI
ZIP 48836
Accounting period End 12
Primary contact name RACHEL MOULTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL MOULTON
DIRECTOR
140 KERN RD
FOWLERVILLE MI 48836

Officer/Director/Trustee Two

DANA COON
OFFICER
9280 N FOWLERVILLE RD
FOWLERVILLE MI 48836-9336

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
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 RACHEL MOULTON
Signature Title OFFICER
Signature Date 12/29/2019

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