FORM 1023-EZ for RISE & SHINE

Field Data
EIN 83-4348353
Case Number EO-2020300-000732
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISE & SHINE
Organization’s Mailing Address 1721 SKYLINE DRIVE
City JOHNSON CITY
State MD
ZIP 37604-3786
Accounting period End 12
Primary contact name PRAVEEN FERNANDOPULLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PRAVEEN FERNANDOPULLE
PRESIDENT
1721 SKYLINE DRIVE
JOHNSON CITY MD 37604-3786

Officer/Director/Trustee Two

MICHAEL VARHOLA
TREASURER
127 LYNNMOOR DRIVE
SILVER SPRING MD 20901-1516

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2019
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 PRAVEEN FERNANDOPULLE
Signature Title PRESIDENT
Signature Date 10/24/2020

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