FORM 1023-EZ for WHOLESOME IMAGE INC

Field Data
EIN 81-2479125
Case Number EO-2017011-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHOLESOME IMAGE INC
Organization’s Mailing Address PO BOX 308
City BLADENBORO
State NC
ZIP 28320
Accounting period End 2
Primary contact name WILLIE L DORSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIE DORSEY
FOUNDER CEO
630 PLEASANT GARDEN RD
BLADENBORO NC 28320

Organization’s website
Organization’s email WILDOR366@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 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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