FORM 1023-EZ for UPLIFT ATHLETICS

Field Data
EIN 45-5130489
Case Number EO-2019259-000894
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPLIFT ATHLETICS
Organization’s Mailing Address 2815 TAVISTOCK TRAIL
City SOUTHFIELD
State MI
ZIP 48034
Accounting period End 5
Primary contact name CAMILLA NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMILLA NELSON
PRESIDENT
28150 TAVISTOCK TRAIL
SOUTHFIELD MI 48034

Officer/Director/Trustee Two

ANTHONY NELSON
DIRECTOR
28150 TAVISTOCK TRAIL
SOUTHFIELD MI 48034

Officer/Director/Trustee Three

CAMILLA JAMES
DIRECTOR
21515 CURTIS
DETROIT MI 48219

Organization’s website UPLIFTATHLETICS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/12
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAMILLA NELSON
Signature Title PRESIDENT
Signature Date 9/12/19

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