FORM 1023-EZ for ELEVATE ONE INC

Field Data
EIN 82-4276879
Case Number EO-2019038-000500
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELEVATE ONE INC
Organization’s Mailing Address 2742 SOUTH 160TH AVENUE
City GOODYEAR
State AZ
ZIP 85338
Accounting period End 12
Primary contact name TANY MOONEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NUMA GOMEZ
BOARD MEMBER
2671 SOUTH 168TH
GOODYEAR AZ 85338

Officer/Director/Trustee Two

BOB GREENE
BOARD MEMBER
12066 NORTH 68TH LANE
PEORIA AZ 85345

Officer/Director/Trustee Three

MATTHEW HAMPTON
VICE PRESIDENT
18119 WEST LANE
WADDELL AZ 85355

Officer/Director/Trustee Four

ANDRE MOONEY
PRESIDENT
17721 WEST DESERT VIEW LANE
GOODYEAR AZ 85338

Officer/Director/Trustee Five

TANYA MOONEY
EXECUTIVE OFFICER
17721 WEST DESERT VIEW LANE
GOODYEAR AZ 85338

Organization’s website WWW.E1PICKLEBALL.COM
Organization’s email E1PICKLEBALL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Donation of funds Yes
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 ANDRE MOONEY
Signature Title PRESIDENT
Signature Date 2/1/19

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