FORM 1023-EZ for ELEVATED SURVIVORSHIP
| Field | Data |
|---|---|
| EIN | 83-2933728 |
| Case Number | EO-2019081-000487 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ELEVATED SURVIVORSHIP |
| Organization’s Mailing Address | 1510 E 55TH STREET STE 15305 |
| City | CHICAGO |
| State | IL |
| ZIP | 60615 |
| Accounting period End | 6 |
| Primary contact name | ANGELA WALLER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANGELA WALLER
PRESIDENT/CEO
2323 W PERSHING RD 411
CHICAGO IL 60609-2220
Officer/Director/Trustee Two
ANTHONY WALLER
CHAIR
2323 W PERSHING RD 411
CHICAGO IL 60609-2220
Officer/Director/Trustee Four
COREY HARRIS
TREASURER
12014 S STATE ST
CHICAGO IL 60628
Officer/Director/Trustee Five
CARLENE WALKER-HARRIS
SECRETARY
15658 SAWYER AVE
MARKHAM IL 60628
| Organization’s website | WWW.ELEVATEDSURVIVORSHIP.ORG |
|---|---|
| Organization’s email | INFO@ELEVATEDSURVIVORSHIP.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/21/18 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G32 - Breast Cancer |
| 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 | ANGELA WALLER |
| Signature Title | PRESIDENT/CEO |
| Signature Date | 3/20/19 |
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