FORM 1023-EZ for RISEN CODE

Field Data
EIN 83-4600006
Case Number EO-2020069-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISEN CODE
Organization’s Mailing Address 4641 POST STREET 4484
City EL DORADO HILLS
State CA
ZIP 95762
Accounting period End 4
Primary contact name BLAKE BERGGREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAKE BERGGREN
CEO
4641 POST STREET 4484
EL DORADO HILLS CA 95762

Officer/Director/Trustee Two

TAYLOR BERGGREN
CFO
4641 POST STREET 4484
EL DORADO HILLS CA 95762

Officer/Director/Trustee Three

ANDREA VALLE
SECRETARY
4641 POST STREET 4484
EL DORADO HILLS CA 95762

Officer/Director/Trustee Four

CONRAD OBRIEN
DIRECTOR
4641 POST STREET 4484
EL DORADO HILLS CA 95762

Officer/Director/Trustee Five

KRISTIN OBRIEN
DIRECTOR
4641 POST STREET 4484
EL DORADO HILLS CA 95762

Organization’s website WWW.RISENCODE.COM
Organization’s email BLAKE@RISENCODE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X80 - Religious Media, Communications Organizations
Organization’s purpose Charitable: Yes
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 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 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 BLAKE BERGGREN
Signature Title CEO
Signature Date 3/5/2020

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