FORM 1023-EZ for WELLPOINT HEALTHCARE INC

Field Data
EIN 85-3222709
Case Number EO-2021083-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLPOINT HEALTHCARE INC
Organization’s Mailing Address 1030 FRANKLIN COURT
City AUSTELL
State GA
ZIP 30106
Accounting period End 12
Primary contact name YEATIE SOYEI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YEATIE SOYEI
CEO
1030 FRANKLIN COURT
AUSTELL GA 30106

Officer/Director/Trustee Two

GEIKA BIO
TREASURER
62 AVENUE A
LOWELL MA 01851

Officer/Director/Trustee Three

LYDIA JAMINA
SECRETARY
801 GREYFIELD LANE
SANDY SPRINGS GA 30350

Officer/Director/Trustee Four

MATILDA WROTTO
DIRECTOR
1030 FRANKLIN COURT
AUSTELL GA 30106

Officer/Director/Trustee Five

AMADU JALLOH
DIRECTOR
1030 FRANKLIN COURT
AUSTELL GA 30106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name YEATIE SOYEI
Signature Title CEO
Signature Date 10/9/2020

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