FORM 1023-EZ for FRESH WELLNESS FOUNDATION INC

Field Data
EIN 82-4770658
Case Number EO-2018120-000562
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRESH WELLNESS FOUNDATION INC
Organization’s Mailing Address 13939 GOLD CIRCLE
City OMAHA
State NE
ZIP 68144
Accounting period End 12
Primary contact name SHANA SKILLSTAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANA SKILLSTAD
DIRECTOR
11307 LAFAYETTE
OMAHA NE 68154

Officer/Director/Trustee Two

BRIANNE RAMIREZ
DIRECTOR
14632 AMES CT
OMAHA NE 68116

Officer/Director/Trustee Three

NICOLE WAGNER
DIRECTOR
305 OAKWOOD DR
PAPILLION NE 68133

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N19 - Nonmonetary Support N.E.C.
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 BRIANNE RAMIREZ
Signature Title DIRECTOR
Signature Date 4/26/18

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