FORM 1023-EZ for WELL-BEING CONNECTIONS

Field Data
EIN 84-4906062
Case Number EO-2020062-000501
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELL-BEING CONNECTIONS
Organization’s Mailing Address 328 W LAQUINTA CIRCLE
City SIOUX FALLS
State SD
ZIP 57108
Accounting period End 12
Primary contact name KIMBERLY OVERBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY OVERBY
DIRECTOR
328 W LAQUINTA CIRCLE
SIOUX FALLS SD 57108

Officer/Director/Trustee Two

DAVID OVERBY
DIRECTOR
328 W LAQUINTA CIRCLE
SIOUX FALLS SD 57108

Officer/Director/Trustee Three

HILARY LARSEN
DIRECTOR
107 CEDAR COURT
ELK POINT SD 57025

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2020
Organization Incorporation State SD
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: 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 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 KIMBERLY OVERBY
Signature Title DIRECTOR
Signature Date 2/28/2020

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