FORM 1023-EZ for AN ELEVATED WORLD NON PROFIT INC

Field Data
EIN 81-0754282
Case Number EO-2019249-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AN ELEVATED WORLD NON PROFIT INC
Organization’s Mailing Address 1133 WARBURTON AVE APT 9065
City YONKERS
State NY
ZIP 10701
Accounting period End 12
Primary contact name ZIA NIX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZIA NIX
PRESIDENT
1133 WARBURTON AVE AP 9065
YONKERS NY 10701

Officer/Director/Trustee Two

KY NIX
VICE PRESIDENT
1133 WARBURTON AVE AP 9065
YONKERS NY 10701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/15
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KY NIX
Signature Title VICE PRESIDENT
Signature Date 9/4/19
EIN 81-0754282
Case Number EO-2017012-000477
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AN ELEVATED WORLD NON PROFIT INC
Organization’s Mailing Address 279 N BROADWAY STE 65
City YONKERS
State NY
ZIP 10701
Accounting period End 12
Primary contact name CHRIS ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZIA NIX
PRESIDENT
279 N BROADWAY STE 65
YONKERS NY 10701

Officer/Director/Trustee Two

KY NIX
DIRECTOR
279 N BROADWAY STE 65
YONKERS NY 10701

Officer/Director/Trustee Three

JEN DERRICKSON
DIRECTOR
14 1/2 N SEIR HILL RD
NORWALK CT 06850

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2015
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
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 No
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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