FORM 1023-EZ for SOUTH SOUND YOGA AND WELLNESS GROUP

Field Data
EIN 82-1062923
Case Number EO-2019036-001219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH SOUND YOGA AND WELLNESS GROUP
Organization’s Mailing Address 21 E ORCHARD LN
City SHELTON
State WA
ZIP 98584
Accounting period End 12
Primary contact name EDWARD BERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD BERRY
TREASURER
21 E ORCHARD LN
SHELTON WA 98584

Officer/Director/Trustee Two

PAMELA LAU
PRESIDENT
21 E ORCHARD LN
SHELTON WA 98584

Officer/Director/Trustee Three

AMELIA SAVINOVA
SECRETARY
560 E PARKWAY BLVD
SHELTON WA 98584

Officer/Director/Trustee Four

JOHANNA LANG
DIRECTOR AT LARGE
4219 TANAGER TERRACE
FREMONT CA 94555

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
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 EDWARD BERRY
Signature Title TREASURER
Signature Date 1/23/19

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