FORM 1023-EZ for WELL NAV

Field Data
EIN 85-3310334
Case Number EO-2020281-000346
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELL NAV
Organization’s Mailing Address 11420 E 1ST AVE
City AURORA
State CO
ZIP 80010
Accounting period End 12
Primary contact name DANIELLE RIESE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE RIESE
CMO
11420 E 1ST AVE
AURORA CO 80010

Officer/Director/Trustee Two

ANNALEE HUMMER
CEO
2954 ADOBE DR
FORT COLLINS CO 80525

Officer/Director/Trustee Three

DAVID PERSSON
COO
2921 TIMBERWOOD DR APT 03-301
FORT COLLINS CO 80528

Organization’s website WELLNAVAPP.COM
Organization’s email WELLNAVCO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Correctness Declaration Yes
Signature Name DANIELLE RIESE
Signature Title CMO
Signature Date 10/5/2020

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