FORM 1023-EZ for ELEVATE COMMUNITY FOUNDATION

Field Data
EIN 84-4976587
Case Number EO-2020076-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELEVATE COMMUNITY FOUNDATION
Organization’s Mailing Address 439 MONROE AVENUE - 2ND FLOOR
City ROCHESTER
State NY
ZIP 14607
Accounting period End 12
Primary contact name COURTNEY KONECNY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COURTNEY KONECNY
DIRECTOR
1745 BLOSSOM ROAD
ROCHESTER NY 14610

Officer/Director/Trustee Two

THERESA LUCIANO
DIRECTOR
8 MERCHANTS ROAD
ROCHESTER NY 14609

Officer/Director/Trustee Three

TEAGAN WEST
DIRECTOR
399 OXFORD STREET APT 3
ROCHESTER NY 14607

Officer/Director/Trustee Four

KATIE MELIA
DIRECTOR
3289 EVERGREEN CIRCLE
WALWORTH NY 14568

Organization’s website
Organization’s email ELEVATECOMMUNITYFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name COURTNEY KONECNY
Signature Title DIRECTOR
Signature Date 3/12/2020

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