FORM 1023-EZ for RISE AGAIN OUTREACH INC

Field Data
EIN 32-0077498
Case Number EO-2015167-000105
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RISE AGAIN OUTREACH INC
Organization’s Mailing Address 13077 ABERDEEN ROAD
City DILLSBORO
State IN
ZIP 47018
Accounting period End 12
Primary contact name JOHN ERICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN ERICKSON
PRESIDENT
13077 ABERDEEN RD
DILLSBORO IN 47018

Officer/Director/Trustee Two

RON LEE
VICE PRESIDENT
7345 E LEE HILL RD
MADISON IN 47250

Officer/Director/Trustee Three

LAURA ERICKSON
SECRETARY
13077 ABERDEEN RD
DILLSBORO IN 47018

Officer/Director/Trustee Four

DEBBIE LEE
TREASURER
7345 E LEE HILL RD
MADISON IN 47250

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/2003
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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