FORM 1023-EZ for PEER WELLNESS CENTER INC

Field Data
EIN 47-3191800
Case Number EO-2015097-000041
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEER WELLNESS CENTER INC
Organization’s Mailing Address 950 W BANNOCK STREET SUITE 1100
City BOISE
State ID
ZIP 83702
Accounting period End 1
Primary contact name MONICA FORBES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MONICA FORBES
PRESIDENT
3036 EASTGATE DRIVE
BOISE ID 83716

Officer/Director/Trustee Two

DORIAN WILLES
VICE-PRESIDENT
3928 RIVA RIDGE WAY
BOISE ID 83709

Officer/Director/Trustee Three

VANESSA JOHNSON
VICE-PRESIDENT
1866 S PENNINGER DRIVE
BOISE IA 83709

Officer/Director/Trustee Four

MICHELLE WILSON
SECRETARY
2931 N ENGLEWOOD WAY
MERIDIAN ID 83642

Officer/Director/Trustee Five

JESSICA WOJCIK
TREASURER
407 S GARDEN STREET
BOISE ID 83705

Organization’s website WWW.PEERWELLNESSCENTER.ORG
Organization’s email JOINUS@PEERWELLNESSCENTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2015
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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