FORM 1023-EZ for ANCIENT WISDOM HEALING
| Field | Data |
|---|---|
| EIN | 83-4532750 |
| Case Number | EO-2021196-000134 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ANCIENT WISDOM HEALING |
| Organization’s Mailing Address | 810 NW MARSHALL ST STE 300 |
| City | PORTLAND |
| State | OR |
| ZIP | 97209-3359 |
| Accounting period End | 12 |
| Primary contact name | KIMBERLY PRAY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TIFFANY DYCK
PRESIDENT
810 NW MARSHALL ST STE 300
PORTLAND OR 97209-3359
Officer/Director/Trustee Two
KEN PIERCEY
SECRETARY
810 NW MARSHALL ST STE 300
PORTLAND OR 97209
Officer/Director/Trustee Three
KAREN TOP
TREASURER
810 NW MARSHALL ST STE 300
PORTLAND OR 97209
Officer/Director/Trustee Four
STEPHANIE RUBESH
EXECUTIVE DIRECTOR
810 NW MARSHALL ST STE 300
PORTLAND OR 97209
| Organization’s website | WWW.ANCIENTWISDOMHEALING.COM |
|---|---|
| Organization’s email | INFO@ANCIENTWISDOMHEALING.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/25/2019 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: No 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 | 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | STEPHANIE RUBESH |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 7/13/2021 |
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