FORM 1023-EZ for ELEVATE HSC

Field Data
EIN 85-2992355
Case Number EO-2021063-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELEVATE HSC
Organization’s Mailing Address 685 PROVIDENCE MAIN APT 210
City HUNTSVILLE
State AL
ZIP 35806
Accounting period End 12
Primary contact name TAVARIUS HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAVARIUS HENDERSON
PRESIDENT
685 PROVIDENCE MAIN APT 210
HUNTSVILLE AL 35806

Officer/Director/Trustee Two

DONNA ROBINSON
TREASURER
101 RIVER BRIDGE WAY
HUNTSVILLE AL 35811

Officer/Director/Trustee Three

TISH HARDRIC
SECRETARY
2717 MOUNTAIN PARK CIRCLE
HUNTSVILLE AL 35810

Officer/Director/Trustee Four

LEO ROBINSON
VOTING MEMBER
101 RIVER BRIDGE WAY
HUNTSVILLE AL 35811

Officer/Director/Trustee Five

RICHARD SHOWERS SR
VOTING MEMBER
6040 LINCOYA DRIVE
HUNTSVILLE AL 35810

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 TAVARIUS HENDERSON
Signature Title PRESIDENT
Signature Date 12/28/2020

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