FORM 1023-EZ for WOODSTOCK WELLNESS TEAM NFP

Field Data
EIN 47-5116117
Case Number EO-2015357-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WOODSTOCK WELLNESS TEAM NFP
Organization’s Mailing Address 110 S JOHNSON ST
City WOODSTOCK
State IL
ZIP 60098
Accounting period End 12
Primary contact name ROBERT KNUTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT KNUTH
PRESIDENT
665 LOCUST DR
FONTANA WI 53125

Officer/Director/Trustee Two

JOHN DUGHI
VICE PRESIDENT
536 W JACKSON ST
WOODSTOCK IL 60098

Officer/Director/Trustee Three

ALLISON DEPUTY
DIRECTOR
131 POLARIS DR
LITH IL 60156

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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