FORM 1023-EZ for WOMEN4WELLNESS INC

Field Data
EIN 81-2340594
Case Number EO-2016141-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WOMEN4WELLNESS INC
Organization’s Mailing Address 2615 WEST MEMORIAL DRIVE
City Janesville
State WI
ZIP 53548
Accounting period End 12
Primary contact name STEFANIE KUERSCHNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEFANIE KUERSCHNER
PRESIDENT
2615 WEST MEMORIAL DRIVE
JANESVILLE WI 53548

Officer/Director/Trustee Two

LISA ANACKER
SECRETARY
2615 WEST MEMORIAL DRIVE
JANESVILLE WI 53548

Officer/Director/Trustee Three

KAREN KIRKPATRICK
CHAIR
2615 WEST MEMORIAL DRIVE
JANESVILLE WI 53548

Organization’s website WWW.WOMEN4WELLNESS.ORG
Organization’s email INFO@WOMEN4WELLNESS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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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