FORM 1023-EZ for 180ELEVATE

Field Data
EIN 84-5016092
Case Number EO-2020147-000676
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 180ELEVATE
Organization’s Mailing Address 3160 CROW CANYON ROAD/100
City SAN RAMON
State CA
ZIP 94583
Accounting period End 12
Primary contact name RUPAM KHANNA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUPAM KHANNA
PRESIDENT
3160 CROW CANYON ROAD/100
SAN RAMON CA 94583

Officer/Director/Trustee Two

MONICA MALHOTRA
TREASURER
1006 SOUTH WEDGEWOOD ROAD
SAN RAMON CA 94582

Officer/Director/Trustee Three

MEDHA RISHI
SECRETARY
3160 CROW CANYON ROAD/100
SAN RAMON CA 94583

Organization’s website WWW.180ELEVATE.COM
Organization’s email CONTACT@180ELEVATE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 RUPAM KHANNA
Signature Title PRESIDENT
Signature Date 5/24/2020

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