FORM 1023-EZ for WELLSHARE PROGRAM INC

Field Data
EIN 83-1890875
Case Number EO-2018281-000047
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLSHARE PROGRAM INC
Organization’s Mailing Address 328 BLACKSTRAP ROAD
City FALMOUTH
State ME
ZIP 4105
Accounting period End 12
Primary contact name ROXANNE GULLIKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROXANNE GULLIKSON
EXECUTIVE DIRECTOR, SECRETARY
328 BLACKSTRAP ROAD
FALMOUTH ME 4105

Officer/Director/Trustee Two

RONALD FIGARATTO
EXECUTIVE DIRECTOR, TREASURER
328 BLACKSTRAP ROAD
FALMOUTH ME 4105

Officer/Director/Trustee Three

MEGAN OSGOOD
DIRECTOR
66 WALL STREET
PORTLAND ME 4103

Organization’s website
Organization’s email WELLSHAREPROGRAM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/18
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 Yes
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 ROXANNE GULLIKSON
Signature Title EXECUTIVE DIRECTOR, SECRETARY
Signature Date 10/3/18

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