FORM 1023-EZ for EVOLVEK12

Field Data
EIN 84-2918880
Case Number EO-2019277-000822
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EVOLVEK12
Organization’s Mailing Address 2662 TALLOWTREE DR
City STERLING HEIGHTS
State MI
ZIP 48314
Accounting period End 12
Primary contact name MARIA KOPICKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA KOPICKI
DIRECTOR/PRESIDENT/CEO
2662 TALLOWTREE DR
STERLING HEIGHTS MI 48314

Officer/Director/Trustee Two

STEVEN KOPICKI
CHIEF FINANCIAL OFFICER
2662 TALLOWTREE DR
STERLING HEIGHTS MI 48314

Officer/Director/Trustee Three

KAYLA KOPICKI
VICE PRESIDENT
233 RIVER BLUFF LANE
ROYAL PALM BEACH FL 33411

Officer/Director/Trustee Four

SIDDHARTH SARAVANAN
BOARD CHAIRMAN/TECHNOLOGY/ DIRECTOR
2666 LIMERICK LANE
TROY MI 48098

Officer/Director/Trustee Five

KRISTIN KOPICKI
SECRETARY
133 N ALEXANDER
ROYALOAK MI 48067

Organization’s website EVOLVEK12.ORG
Organization’s email EVOLVEK12.KOPICKI@GMAIL.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 MARIA KOPICKI
Signature Title DIRECTOR/PRESIDENT/CEO
Signature Date 10/2/19

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