FORM 1023-EZ for ELEVATION THEORY INC

Field Data
EIN 83-0986264
Case Number EO-2019070-000312
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELEVATION THEORY INC
Organization’s Mailing Address 157 WEST GRENWICH STREET
City READING
State PA
ZIP 19601
Accounting period End 12
Primary contact name SHANI ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANI ROBINSON
PRESIDENT/CHAIR OF THE BOARD
3240 SAGE CANYON CIRCLE APT 7201
FORT WORTH TX 76177

Officer/Director/Trustee Two

BRANDON LEAKS
TREASURER / BOARD MEMBER
8 HARTWELL DRIVE
SIMPSONVILLE SC 29681

Officer/Director/Trustee Three

CHERYL DAVIS
SECRETARY / BOARD MEMBER
PO BOX 321 EAST MAIN STREET
ADAMSTOWN PA 19501

Officer/Director/Trustee Four

ALDRICH BAUTISTA
DIRECTOR
228 ROSE STREET
READING TX 19602

Officer/Director/Trustee Five

DONYELL BOURGEOIS
DIRECTOR
34 WOODLAND AVENUE
WHIPPANY NJ 7981

Organization’s website
Organization’s email ELEVATIONTHEORYINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 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 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 SHANI ROBINSON
Signature Title PRESIDENT/CHAIR OF THE BOARD
Signature Date 3/8/19

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