FORM 1023-EZ for CIRCLE OF WHOLENESS LIFE CENTER

Field Data
EIN 90-0823854
Case Number EO-2016203-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CIRCLE OF WHOLENESS LIFE CENTER
Organization’s Mailing Address 9103 EAMES LANE
City ELK GROVE
State CA
ZIP 95758
Accounting period End 12
Primary contact name VALINDA ALACHAPPELLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA KIRBY
PRESIDENT CEO
3107 EAMES LANE
ELK GROVE CA 95758

Officer/Director/Trustee Two

VALINDA ALACHAPPELLE
SECRETARY
3980 TULE STREET
WEST SACRAMENTO CA 95691

Officer/Director/Trustee Three

DARRELL KIRBY
TREASURER CFO
3107 EAMES LANE
ELK GROVE CA 95758

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2009
Organization Incorporation State CA
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: 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
Signature Title
Signature Date

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