FORM 1023-EZ for THE WELLSTORM INC

Field Data
EIN 86-2885174
Case Number EO-2021100-000673
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE WELLSTORM INC
Organization’s Mailing Address 24 ASHLAND AVE
City SOUTHBRIDGE
State MA
ZIP 01550
Accounting period End 6
Primary contact name YESENIA ARROYO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA DELACRUZ DAVILA
PRESIDENT
24 ASHLAND AVE
SOUTHBRIDGE MA 01550

Officer/Director/Trustee Two

YESENIA ARROYO
TREASURER/ SECRETARY
27 SNOW ST 3R
SOUTHBRIDGE MA 01550

Officer/Director/Trustee Three

JENNIFER DAVILA
CLERK
213 CEDAR ST
STURBRIDGE MA 01518

Organization’s website
Organization’s email INFO@THEWELLSTORMINC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2021
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 Yes
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 YESENIA ARROYO
Signature Title TREASURER/ SECRETARY
Signature Date 3/26/2021

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