FORM 1023-EZ for SILVER SPOON INTEGRATIVE HEALTH CENTER INC

Field Data
EIN 82-5263931
Case Number EO-2018144-000024
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SILVER SPOON INTEGRATIVE HEALTH CENTER INC
Organization’s Mailing Address 703 NORTH HOLCOMBE AVENUE
City LITCHFIELD
State MN
ZIP 55355
Accounting period End 12
Primary contact name JOYCE LIN KNIEFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORDAN KNIEFF
PRESIDENT
4455 INTERLAKE AVE APT 227
SEATTLE WA 98103

Officer/Director/Trustee Two

JOYCE LIN KNIEFF
DIRECTOR TREASURER AND SECRETARY
4455 INTERLAKE AVE APT 227
SEATTLE WA 98103

Officer/Director/Trustee Three

ARIEL SACHER
DIRECTOR
1256NE 184TH PL
SHORELINE WA 98155

Officer/Director/Trustee Four

RICHARD HALIBURTON
DIRECTOR
4425 75TH ST SW
MUKILTEO WA 98275

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical 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 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 JOYCE LIN KNIEFF
Signature Title DIRECTOR TREASURER AND SECRETARY
Signature Date 5/22/18

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