FORM 1023-EZ for RISE ABOVE - LIFESTYLE WELLNESS

Field Data
EIN 83-2709983
Case Number EO-2018344-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISE ABOVE - LIFESTYLE WELLNESS
Organization’s Mailing Address 17519 HEATHER ST NW
City ANDOVER
State MN
ZIP 55304
Accounting period End 12
Primary contact name JENNIFER URBAN - CAF 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TREENA HAASE
PRESIDENT + DIRECTOR
9201 75TH AVE N
BROOKLYN PARK MN 55428

Officer/Director/Trustee Two

NAOMI DAMASK
TREASURER + DIRECTOR
18000 FAIRHOMES LN
DEEPHAVEN MN 55391

Officer/Director/Trustee Three

VICKI YOVETICH
SECRETARY + DIRECTOR
17519 HEATHER ST NW
ANDOVER MN 55304

Officer/Director/Trustee Four

MARISSA YOVETICH
DIRECTOR
17519 HEATHER ST NW
ANDOVER MN 55304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 MARISSA YOVETICH
Signature Title DIRECTOR
Signature Date 12/6/18

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