FORM 1023-EZ for WELLNESS 360 CONFERENCE

Field Data
EIN 47-5661863
Case Number EO-2016104-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WELLNESS 360 CONFERENCE
Organization’s Mailing Address 10046 DEER RUN
City BRECKSVILLE
State OH
ZIP 44141-3609
Accounting period End 12
Primary contact name WAYNE JATSEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WAYNE JATSEK
FINANCE CHAIR
10046 DEER RUN
BRECKSVILLE OH 44141-3609

Officer/Director/Trustee Two

JOHANNA TANNO
EXECUTIVE CHAIR
4796 MISTY BROOK CIR
STOW OH 44224-1589

Officer/Director/Trustee Three

DANI SALAY
SECRETARY
602 ANDOVER CIR
BROADVIEW HEIGHTS OH 44147-4252

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2015
Organization Incorporation State OH
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: 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 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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