FORM 1023-EZ for UPLIFT WEB COLLECTIVE FOUNDATION

Field Data
EIN 81-4371955
Case Number EO-2016330-000353
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UPLIFT WEB COLLECTIVE FOUNDATION
Organization’s Mailing Address 1300 E SHAW AVE SUITE 149
City FRESNO
State CA
ZIP 93710
Accounting period End 12
Primary contact name MARK PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIAN GOMEZ
PRESIDENT
203 ASH AVE
MENDOTA CA 93640

Officer/Director/Trustee Two

MAYRA STONE
SECRETARY
2617 E WARWICK AVE
FRESNO CA 93720

Officer/Director/Trustee Three

ANDREW DUKE
TREASURER
6704 N WINERY
FRESNO CA 93710

Officer/Director/Trustee Four

DAMON THOMAS
DIRECTOR
8839 N CEDAR AVE APT 314
FRESNO CA 93720

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J22 - Vocational Training
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 Yes
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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