FORM 1023-EZ for EDENIC WELLNESS CENTER

Field Data
EIN 83-2929637
Case Number EO-2019030-000575
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EDENIC WELLNESS CENTER
Organization’s Mailing Address 19211 FARM ROAD 1025
City EXETER
State MO
ZIP 65647
Accounting period End 12
Primary contact name BERTHA HORNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAUDETTE MCGIBBON
OFFICER
20580 FARM ROAD 1025
EXETER MO 65647

Officer/Director/Trustee Two

COURTNEY GUY
PRESIDENT
20580 FARM ROAD 1025
EXETER MO 65647

Officer/Director/Trustee Three

SUE ANN WILLIAMS
SECRETARY/TREASURER
20580 FARM ROAD 1025
EXETER MO 65647

Officer/Director/Trustee Four

BERTHA HORNE
GENERAL MANAGER
19211 FARM ROAD 1025
EXETER MO 65647

Organization’s website
Organization’s email EDENICWELLNESS417@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUE ANN WILLIAMS
Signature Title SECRETARY/TREASURER
Signature Date 12/25/18

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