FORM 1023-EZ for THRIVE POCATELLO INCORPORATED

Field Data
EIN 82-1136805
Case Number EO-2017103-000313
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THRIVE POCATELLO INCORPORATED
Organization’s Mailing Address 2140 DIANE LANE
City POCATELLO
State ID
ZIP 83201
Accounting period End 12
Primary contact name JACOB ANDRYSIAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB ANDRYSIAK
PRESIDENT/EXECUTIVE DIRECTOR
2140 DIANE LANE
POCATELLO ID 83201

Officer/Director/Trustee Two

AMY SLACK
VICE PRESIDENT
805 SOUTH 19TH AVE
POCATELLO ID 83201

Officer/Director/Trustee Three

JUSTIN VAEENA
BOARD MEMBER
1550 COTTAGE AVENUE
POCATELLO ID 83201

Officer/Director/Trustee Four

CRISTINE CASSELMAN
BOARD MEMBER
9125 NOTTINGHAM LANE
POCATELLO ID 83201

Officer/Director/Trustee Five

EMILY EDWARDS
BOARD MEMBER
525 EAST TERRY STREET
POCATELLO ID 83201

Organization’s website N/A
Organization’s email THRIVEPOCATELLO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2017
Organization Incorporation State ID
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: No
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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