FORM 1023-EZ for MEN ON THE RISE INC

Field Data
EIN 84-4854270
Case Number EO-2020058-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEN ON THE RISE INC
Organization’s Mailing Address 14090 47TH LN NW LOT 314
City WILLISTON
State ND
ZIP 58801
Accounting period End 12
Primary contact name MACAYLA NICOLAISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT DYK
PRESIDENT DIRECTOR
14090 47TH LN NW LOT 314
WILLISTON ND 58801

Officer/Director/Trustee Two

DARRELL BECKER
DIRECTOR
13883 KLAHANIE LN SE
OLLALLA WA 98359

Officer/Director/Trustee Three

JOEL NIX
DIRECTOR
810 40TH ST E
WILLISTON ND 58801

Officer/Director/Trustee Four

JOHN WYRRICK
DIRECTOR
9913 S 87TH E AVE
TULSA OK 74133

Officer/Director/Trustee Five

DOUG BUMGARDNER
TREASURER
5229 134TH AVE NW
WILLISTON ND 58801

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2019
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 SCOTT DYK
Signature Title PRESIDENT DIRECTOR
Signature Date 2/25/2020

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