FORM 1023-EZ for DAKOTAH HEALTH & WELLNESS INC

Field Data
EIN 83-3433915
Case Number EO-2019057-000410
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAKOTAH HEALTH & WELLNESS INC
Organization’s Mailing Address 600 4TH ST SUITE 202 NUMBER 6
City SIOUX CITY
State IA
ZIP 51101
Accounting period End 12
Primary contact name GREG JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG JACKSON
CO-FOUNDER
600 4TH ST SUITE 202 6
SIOUX CITY IA 51101

Officer/Director/Trustee Two

TRACY JONES
CO-FOUNDER
600 4TH ST SUITE 202 6
SIOUX CITY IA 51101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/19
Organization Incorporation State IA
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: 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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GREG JACKSON
Signature Title CO-FOUNDER
Signature Date 2/22/19

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