FORM 1023-EZ for UPLIFT US INC

Field Data
EIN 82-4965070
Case Number EO-2018205-000099
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPLIFT US INC
Organization’s Mailing Address 703 COLSON DR
City ARLINGTON
State TX
ZIP 76002
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON KERN
PRESIDENT/TREASURER/DIRECTOR
7858 W MANSFIELD PKWY APT 8-103
LAKEWOOD CO 80235

Officer/Director/Trustee Two

MELISSA HANDY
SECRETARY/DIRECTOR
703 COLSON DR
ARLINGTON TX 76002

Officer/Director/Trustee Three

CARA WILSON-GRANAT
DIRECTOR
9521 HALSTEAD LANE APT 2314
LONE TREE CO 80124

Officer/Director/Trustee Four

ANGELA WALKER-HINES
DIRECTOR
1741 T ST SE APT 202
WASHINGTON DC 20020

Officer/Director/Trustee Five

TARA SCOTT
DIRECTOR
1479 CAMBRIDGE DRIVE
LEWISVILLE TX 75077

Organization’s website HTTP://WWW.UPLIFTUS.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
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 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 SHANNON KERN
Signature Title PRESIDENT/TREASURER/DIRECTOR
Signature Date 7/22/18

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