FORM 1023-EZ for WELCOME HEALTH

Field Data
EIN 87-1959742
Case Number EO-2021228-000455
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELCOME HEALTH
Organization’s Mailing Address 619 NW 6TH AVE 7TH FLOOR
City PORTLAND
State OR
ZIP 97209
Accounting period End 6
Primary contact name FRANCISCO GARCIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAROLD ODHIAMBO
PRESIDENT
619 NW 6TH AVE 7TH FLOOR
PORTLAND OR 97209

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support N.E.C.
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 HAROLD ODHIAMBO
Signature Title PRESIDENT
Signature Date 8/13/2021

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