FORM 1023-EZ for INSTITUTE FOR HOLOPATHIC MEDICINE

Field Data
EIN 87-0907069
Case Number EO-2021152-000540
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INSTITUTE FOR HOLOPATHIC MEDICINE
Organization’s Mailing Address 10600 HIGHLAND SPRINGS AVE
City CHERRY VALLEY
State CA
ZIP 92223
Accounting period End 12
Primary contact name JAN KIELMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAN KIELMANN
PRESIDENT
10600 HIGHLAND SPRINGS AVE
CHERRY VALLEY CA 92223

Officer/Director/Trustee Two

SOPHIE RASMUSSEN
DIRECTOR
577 REAGAN ROAD
BOVINA CENTER NY 13740

Officer/Director/Trustee Three

SHARN HOBILL
DIRECTOR
10600 HIGHLAND SPRINGS AVE
CHERRY VALLEY CA 92223

Officer/Director/Trustee Four

STEFANIE BAUMANN
DIRECTOR
10600 HIGHLAND SPRINGS AVE
CHERRY VALLEY CA 92223

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
Financial transactions with officers Yes
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 JAN KIELMANN
Signature Title PRESIDENT
Signature Date 5/27/2021

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