FORM 1023-EZ for ENERGY KINESIOLOGY AWARENESS COUNCIL

Field Data
EIN 20-0700034
Case Number EO-2017226-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ENERGY KINESIOLOGY AWARENESS COUNCIL
Organization’s Mailing Address 1254 PACIFIC AVENUE
City PETALUMA
State CA
ZIP 94954
Accounting period End 12
Primary contact name ADAM LEHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM LEHMAN
PRESIDENT, TREASURER
1254 PACIFIC AVENUE
PETALUMA CA 94954

Officer/Director/Trustee Two

MATTHEW THIE
VICE PRESIDENT
1254 PACIFIC AVENUE
PETALUMA CA 94954

Officer/Director/Trustee Three

ALEXIS COSTELLO
SECRETARY
1254 PACIFIC AVENUE
PETALUMA CA 94954

Officer/Director/Trustee Four

NA NA
NA
NA
NA CA 94954

Officer/Director/Trustee Five

NA NA
NA
NA
NA CA 94954

Organization’s website WWW.AWARENESSCOUNCIL.COM
Organization’s email ADAM@AWARENESSCOUNCIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2004
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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