FORM 1023-EZ for SOCIAL RISE

Field Data
EIN 47-4341314
Case Number EO-2015288-000329
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOCIAL RISE
Organization’s Mailing Address 228 NORTH NELSON STREET
City ARLINGTON
State VA
ZIP 22201
Accounting period End 12
Primary contact name KUSHAAN SHAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KUSHAAN SHAH
EXECUTIVE DIRECTOR AND BOARD MEMBER
228 NORTH NELSON STREET
ARLINGTON VA 22201

Officer/Director/Trustee Two

KERRY HECKER
PRESIDENT, BOARD OF DIRECTORS
3546 WHITEHAVEN PARKWAY NW
WASHINGTON DC 20007

Officer/Director/Trustee Three

ISMAIL PATHAN
VICE PRESIDENT, BOARD OF DIRECTORS
30 BOULDER CRESCENT STREET APT 502
COLORADO SPRINGS CO 80903

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J21 - Vocational Counseling, Guidance and Testing
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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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