FORM 1023-EZ for ELEVATION HEALTH PARTNERS FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-5521477 |
| Case Number | EO-2020177-000296 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ELEVATION HEALTH PARTNERS FOUNDATION |
| Organization’s Mailing Address | 8559 RUN OF THE KNOLLS |
| City | SAN DIEGO |
| State | CA |
| ZIP | 92127 |
| Accounting period End | 12 |
| Primary contact name | NIKKI SEMANCHIK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
NATALIE MARTIN
CEO & DIRECTOR
8559 RUN OF THE KNOLLS
SAN DIEGO CA 92127
Officer/Director/Trustee Two
JOHN HARTMAN
TREASURER & CFO
8559 RUN OF THE KNOLLS
SAN DIEGO CA 92127
Officer/Director/Trustee Three
RACHEL PROUD
SECRETARY
8559 RUN OF THE KNOLLS
SAN DIEGO CA 92127
Officer/Director/Trustee Four
DEENA POURSHABAN
DIRECTOR
8559 RUN OF THE KNOLLS
SAN DIEGO CA 92127
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/20/2018 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E99 - Health - General and Rehabilitative N.E.C. |
| 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 | NATALIE MARTIN |
| Signature Title | CEO & DIRECTOR |
| Signature Date | 6/16/2020 |
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