FORM 1023-EZ for RISE SIMI VALLEY INC

Field Data
EIN 86-2227173
Case Number EO-2021092-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISE SIMI VALLEY INC
Organization’s Mailing Address 4776 WESTWOOD ST
City SIMI VALLEY
State CA
ZIP 93063
Accounting period End 12
Primary contact name CHRISTINA VANARELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROOP MAAN
PRESIDENT AND CEO
4776 WESTWOOD ST
SIMI VALLEY CA 93063

Officer/Director/Trustee Two

CHLOE CUSTODIO
SECRETARY
4776 WESTWOOD ST
SIMI VALLEY CA 93063

Officer/Director/Trustee Three

NAVI KAUR
TREASURER AND CFO
4776 WESTWOOD ST
SIMI VALLEY CA 93063

Officer/Director/Trustee Four

KELLI MCMANAMON
VICE PRESIDENT
4776 WESTWOOD ST
SIMI VALLEY CA 93063

Officer/Director/Trustee Five

CASSANDRA DOUGLAS
DIRECTOR OF ADVOCACY
4776 WESTWOOD ST
SIMI VALLEY CA 93063

Organization’s website WWW.RISESIMIVALLEY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R30 - Intergroup, Race Relations
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 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 ROOP MAAN
Signature Title PRESIDENT AND CEO
Signature Date 2/23/2021

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