FORM 1023-EZ for HEAVENLY VIEW WELLNESS CENTER
| Field | Data |
|---|---|
| EIN | 84-2917913 |
| Case Number | EO-2019343-000544 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HEAVENLY VIEW WELLNESS CENTER |
| Organization’s Mailing Address | 1402 AUBURN WAY N STE 271 |
| City | AUBURN |
| State | WA |
| ZIP | 98002 |
| Accounting period End | 12 |
| Primary contact name | CORRIE KOOPMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MARK HAMPTON
DIRECTOR
1402 AUBURN WAY N STE 271
AUBURN WA 98002
Officer/Director/Trustee Two
STACY HAMPTON
DIRECTOR
22637 SE 271ST ST
MAPLE VALLEY WA 98038
Officer/Director/Trustee Three
RICK RUSSELL
DIRECTOR
1572 VINEWOOD WAY
TRACY CA 95376
Officer/Director/Trustee Four
JUSTIN CARRO
DIRECTOR
419 LARKIN DR
BENICIA CA 94510
Officer/Director/Trustee Five
BEN DAVIS
DIRECTOR
21115 SE 272ND ST
MAPLE VALLEY WA 98038
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/4/2019 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F22 - Alcohol, Drug Abuse, Treatment Only |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MARK HAMPTON |
| Signature Title | DIRECTOR |
| Signature Date | 12/6/2019 |
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