FORM 1023-EZ for MATRIX WELLNESS

Field Data
EIN 85-1086139
Case Number EO-2020143-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MATRIX WELLNESS
Organization’s Mailing Address 3870 LA SIERRA AVENUE SUITE 376
City RIVERSIDE
State CA
ZIP 92505
Accounting period End 12
Primary contact name THOMAS JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS JENKINS
PRESIDENT
3870 LA SIERRA AVENUE SUITE 376
RIVERSIDE CA 92505

Officer/Director/Trustee Two

KATE WILLIAMS
TREASURER
3870 LA SIERRA AVENUE 376
RIVERSIDE CA 92505

Officer/Director/Trustee Three

KAREN LEWIS
SECRETARY
3870 LA SIERRA AVENUE SUITE 376
RIVERSIDE CA 92505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2020
Organization Incorporation State CA
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: 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 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 THOMAS JENKINS
Signature Title PRESIDENT
Signature Date 5/20/2020

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