FORM 1023-EZ for ELEVATION FOUNDATION

Field Data
EIN 36-4773344
Case Number EO-2014300-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELEVATION FOUNDATION
Organization’s Mailing Address 1512 SOUTH HOMAN AVE
City CHICAGO
State IL
ZIP 60623-2152
Accounting period End 12
Primary contact name MARK L YATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK YATES
BOARD PRESIDENT
1330 SOUTH TROY
CHICAGO IL 60623

Officer/Director/Trustee Two

RONI WASHINGTON
BOARD SECRETARY
616 SHERIDAN RD
HIGHWOOD IL 60040

Officer/Director/Trustee Three

MICHELLE BAYLES
BOARD MEMBER
4205 MAIN STREET
DOWNERS GROVE IL 60515

Officer/Director/Trustee Four

MELVIN ALLEN
EXECUTIVE DIRECTOR
2120 WEST WASHINGTON BLVD
CHICAGO IL 60612

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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