FORM 1023-EZ for WESTERN SOCIETY FOR KINESIOLOGY ANDWELLNESS

Field Data
EIN 82-3561144
Case Number EO-2018016-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN SOCIETY FOR KINESIOLOGY ANDWELLNESS
Organization’s Mailing Address 1201 W UNIVERSITY DR HPE11 108
City EDINBURG
State TX
ZIP 78539
Accounting period End 12
Primary contact name BETHANY SHIFFLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHY INOUYE
PRESIDENT
25800 CARLOS BEE BLVD PE130
HAYWARD CA 94542-3062

Officer/Director/Trustee Two

ANDREA EDNIE
PRESIDENT ELECT
800 W MAIN STREET WILLIAMS CENTER
WHITEWATER WI 53190

Officer/Director/Trustee Three

BETHANY SHIFFLETT
PAST PRESIDENT
1264 WEIBEL WAY
SAN JOSE CA 95125

Officer/Director/Trustee Four

SOOJIN YOO
TREASURER
1201 W UNIVERSITY DR HPE II 108
EDINBURG TX 78539

Organization’s website HTTP://WWW.SITE.WSKW.ORG/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/16
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 BETHANY SHIFFLETT
Signature Title PAST PRESIDENT
Signature Date 1/11/18

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