FORM 1023-EZ for BLUEBIRD WELLNESS NFP

Field Data
EIN 82-1210581
Case Number EO-2017116-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUEBIRD WELLNESS NFP
Organization’s Mailing Address 4138 SW WEBSTER ST
City SEATTLE
State WA
ZIP 98136-2131
Accounting period End 12
Primary contact name ELIZABETH CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH CARTER
DIRECTOR/PRESIDENT/TREASURER
4138 SW WEBSTER ST
SEATTLE WA 98136-2131

Officer/Director/Trustee Two

ROBERT MCELROY
DIRECTOR
4501 153RD AVE SE
BELLEVUE WA 98006-2551

Officer/Director/Trustee Three

AIMEE HUYCK
DIRECTOR
23005 94TH AVE W
EDMONDS WA 98020-5003

Officer/Director/Trustee Four

CHRIS WADSWORTH
SECRETARY
4138 SW WEBSTER ST
SEATTLE WA 98136-2131

Organization’s website WWW.BLUEBIRDWELLNESS.ORG
Organization’s email MYBLUEBIRDWELLNESS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2017
Organization Incorporation State WA
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 Yes
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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