FORM 1023-EZ for WELLSPRING FOUNDATION

Field Data
EIN 83-6790857
Case Number EO-2019198-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLSPRING FOUNDATION
Organization’s Mailing Address 22460 CEDAR RIDGE RD
City EDMOND
State OK
ZIP 73025
Accounting period End 12
Primary contact name CORRY AND WENDY MAZZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORRY MAZZA
TRUSTEES
22460 CEDAR RIDGE RD
EDMOND OK 73025

Officer/Director/Trustee Two

WENDY MAZZA
TRUSTEES
22460 CEDAR RIDGE RD
EDMOND OK 73025

Organization’s website
Organization’s email CORRY.MAZZA@GMAIL.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 CORRY MAZZA
Signature Title TRUSTEES
Signature Date 7/15/19

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