FORM 1023-EZ for GWEN OLSEN FOUNDATION FOR HEALTH

Field Data
EIN 38-4022725
Case Number EO-2018302-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GWEN OLSEN FOUNDATION FOR HEALTH
Organization’s Mailing Address 4122 BELMONT SHORE LANE
City MISSOURI CITY
State TX
ZIP 77459
Accounting period End 12
Primary contact name GWEN OLSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHUCK RICHEY
DIRECTOR
2905 BRYCO COVE
ROUND ROCK TX 78681

Officer/Director/Trustee Two

AARON GAMES
DIRECTOR
7000 N MOPAC EXPWY STE 200
AUSTIN TX 78731

Officer/Director/Trustee Three

MASHA MAYER
DIRECTOR
6501 NORTH OCEAN DRIVE PH7
HOLLYWOOD FL 33019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/17
Organization Incorporation State TX
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 AARON GAMES
Signature Title DIRECTOR
Signature Date 10/25/18

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