FORM 1023-EZ for HIGHER GROUND WELLNESS

Field Data
EIN 86-2690644
Case Number EO-2021099-000939
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIGHER GROUND WELLNESS
Organization’s Mailing Address 2027 10TH AVE
City SAN FRANCISCO
State CA
ZIP 94116
Accounting period End 12
Primary contact name MAYA EMELLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAYA EMELLE
EXECUTIVE DIRECTOR
2027 10TH AVE
SAN FRANCISCO CA 94116

Officer/Director/Trustee Two

YANIQUE SAPPLETON-BIRCH
SECRETARY
27607 CAMELLIA DRIVE
SANTA CLARITA CA 91350

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: No
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 MAYA EMELLE
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/18/2021

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