FORM 1023-EZ for WELCH FAMILY CHIROPRACTIC

Field Data
EIN 83-1858827
Case Number EO-2018280-000029
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELCH FAMILY CHIROPRACTIC
Organization’s Mailing Address 65-1227A OPELO RD STE 103
City KAMUELA
State HI
ZIP 96743
Accounting period End 12
Primary contact name PETER WELCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER WELCH
DIRECTOR/PRESIDENT
65-1227A OPELO RD STE 103
KAMUELA HI 96743

Officer/Director/Trustee Two

BETH HOOD
DIRECTOR
65-1227A OPELO RD STE 103
KAMUELA HI 96743

Officer/Director/Trustee Three

JIM HOOD
DIRECTOR
65-1227A OPELO RD STE 103
KAMUELA HI 96743

Officer/Director/Trustee Four

STEPHANIE SCHONEY
SECRETARY/TREASURER
65-1227A OPELO RD STE 103
KAMUELA HI 96743

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/18
Organization Incorporation State HI
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: 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 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 PETER WELCH
Signature Title DIRECTOR/PRESIDENT
Signature Date 10/3/18

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