FORM 1023-EZ for RISE USA

Field Data
EIN 81-3689729
Case Number EO-2018218-000678
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISE USA
Organization’s Mailing Address 289 SE WINCHESTER HILL DR
City CHEHALIS
State WA
ZIP 98532
Accounting period End 12
Primary contact name ALAN SODERQUIST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN SODERQUIST
SECRETARY
289 SE WINCHESTER HILL DR
CHEHALIS WA 98532

Officer/Director/Trustee Two

DONNA MOIR
TREASURER
215 MACOMBER RD
CHEHALIS WA 98532

Officer/Director/Trustee Three

CAROLYN SCHOENBORN
PRESIDENT
116 JEWELLS SPRING DR
MOSSYROCK WA 98564

Organization’s website WWW.RISELEWISCOUNTY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/16
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALAN SODERQUIST
Signature Title SECRETARY
Signature Date 8/3/18

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