FORM 1023-EZ for WHOLISTIC INTER-NATIONAL SELF-SUFFICIENCY INCORPORATED

Field Data
EIN 84-2265447
Case Number EO-2019198-000100
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WHOLISTIC INTER-NATIONAL SELF-SUFFICIENCY INCORPORATED
Organization’s Mailing Address 795 MARCIA DRIVE
City IDAHO FALLS
State ID
ZIP 83401-3513
Accounting period End 12
Primary contact name MARCI STACEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCI STACEY
DIRECTOR
795 MARCIA DRIVE
IDAHO FALLS ID 83401-3513

Officer/Director/Trustee Two

MARCELA STACEY
TREASURER
2790 WOODBRIDGE DR
IDAHO FALLS ID 83401-3378

Officer/Director/Trustee Three

TONYA DAVENPORT
SECRETARY
3680 GREENWILLOW LANE
IDAHO FALLS ID 83401-2400

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/19
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 MARCI STACEY
Signature Title DIRECTOR
Signature Date 7/15/19

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