| Field | Data |
|---|---|
| EIN | 51-0599432 |
| Case Number | EO-2015106-000191 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ARKANSAS WELLNESS COALITION INC |
| Organization’s Mailing Address | 320 WEST CAPITOL |
| City | LITTLE ROCK |
| State | AR |
| ZIP | 72201 |
| Accounting period End | 12 |
| Primary contact name | BRIDGET JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
BRIDGET JOHNSON
EXECUTIVE CHAIR
11912 TIMBER CREEK RD
NORTH LITTLE ROCK AR 72118
MARK DECLERK
EXECUTIVE CHAIR - ELECT
3611 WEST BOSTON COURT
BROKEN ARROW OK 74012
LINDA FAULKNER
TREASURER
4815 WEST MARKHAM STREET SLOT 6
LITTLE ROCK AR 72205-3867
CHAD CASSIE
SECRETARY
14 PINEY LANE
LITTLE ROCK AR 72223
BECKY FORTENBURY
REGISTERED AGENT
601 SOUTH GAINES ST 4S
LITTLE ROCK AR 72201
| Organization’s website | HTTP://WWW.HEALTHY.ARKANSAS.GOV/PROGRAMSSERVICES/CHRONICDISEASE/COALITION/PAGES/ARKANSASWELLNESS.ASPX |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/17/2005 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: Yes 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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