FORM 1023-EZ for RISE AGAIN INC

Field Data
EIN 82-1538191
Case Number EO-2017201-000371
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RISE AGAIN INC
Organization’s Mailing Address 1711 WINTER JASMINE DR
City DACULA
State AZ
ZIP 30019
Accounting period End 12
Primary contact name LLOYD WALSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LLOYD WALSH
PRESIDENT CHAIRMAN
1711 WINTER JASMINE DR
DACULA GA 30019

Officer/Director/Trustee Two

PHIL BOLLIER
SECRETARY DIRECTOR
1512 HEATHERMOOR WAY
DACULA GA 30019

Officer/Director/Trustee Three

JOSHUA LEPOCK
TREASURER DIRECTOR
3539 ROCK ELM CT
AUBURN GA 30519

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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