FORM 1023-EZ for ZEN DEN HOLISTIC WELLNESS INC

Field Data
EIN 47-2206769
Case Number EO-2014314-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ZEN DEN HOLISTIC WELLNESS INC
Organization’s Mailing Address 44 N CHAMPLAIN ST APT 2
City BURLINGTON
State VT
ZIP 05401
Accounting period End 12
Primary contact name ROSE BRYANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROSE BRYANT
EXECUTIVE DIRECTOR
44 N CHAMPLAIN ST APT 2
BURLINGTON VT 05401

Officer/Director/Trustee Two

ERIN MULLANEY
ASSISTANT EXECUTIVE DIRECTOR
400 NW 231ST AVE
HILLSBORO OR 97124

Officer/Director/Trustee Three

TIMOTHY MILLER
ADMINISTRATIVE DIRECTOR
1820 NE WASCO ST
PORTLAND OR 97232

Officer/Director/Trustee Four

CHAROLETTE BRYANT
FINANCE DIRECTOR
44 N CHAMPLAIN ST APT 2
BURLINGTON VT 05401

Officer/Director/Trustee Five

MARTINA PROTZE
MARKETING DIRECTOR
44 N CHAMPLAIN ST APT 2
BURLINGTON VT 05401

Organization’s website WWW.ZENDENHOLISTICWELLNESS.ORG
Organization’s email ZENDENHOLISTICWELLNESS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2013
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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