FORM 1023-EZ for RISE ABOVE WELLNESS CENTER INC

Field Data
EIN 84-3576770
Case Number EO-2019354-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISE ABOVE WELLNESS CENTER INC
Organization’s Mailing Address PO BOX 521
City WELLSVILLE
State NY
ZIP 14895-0521
Accounting period End 12
Primary contact name JEREMY A DAHLGREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY DAHLGREN
CHAIRMAN, TREASURER
PO BOX 521
WELLSVILLE NY 14895-0521

Officer/Director/Trustee Two

FREDERICK SINCLAIR
VICE PRESIDENT
5475 CR 12 PO BOX 834
ALFRED NY 14802

Officer/Director/Trustee Three

ELIZABETH FREELAND
SECRETARY
2957 SECOND STREET
WELLSVILLE NY 14895

Organization’s website HTTPS://RISEABOVEHWC.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 JEREMY DAHLGREN
Signature Title CHAIRMAN, TREASURER
Signature Date 12/18/2019

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