FORM 1023-EZ for RISE -REACHING INDEPENDENCE THROUGHSUPPORT & EMPOWERMENT

Field Data
EIN 81-4843924
Case Number EO-2019060-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISE -REACHING INDEPENDENCE THROUGHSUPPORT & EMPOWERMENT
Organization’s Mailing Address 10833 IRIS BLOOM DR
City STOCKTON
State CA
ZIP 95209
Accounting period End 12
Primary contact name SHYNELLE JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHYNELLE JONES
PRESIDENT
10833 IRIS BLOOM DR
STOCKTON CA 95209

Officer/Director/Trustee Two

ANTONIO SMITH
VICE PRESIDENT, TREASURER
10833 IRIS BLOOM DR
STOCKTON CA 95209

Officer/Director/Trustee Three

VIVIAN WILLIAMS
SECRETARY
10833 IRIS BLOOM DR
STOCKTON CA 95209

Officer/Director/Trustee Four

STEPHANIE SEYMORE
BOARD MEMBER
430 WINTER GARDEN
SACRAMENTO CA 95833

Organization’s website
Organization’s email SHYNELLE@YMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 SHYNELLE JONES
Signature Title PRESIDENT
Signature Date 2/27/19

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