FORM 1023-EZ for WHITE APPLE INSTITUTE

Field Data
EIN 45-5602313
Case Number EO-2015071-000911
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHITE APPLE INSTITUTE
Organization’s Mailing Address 5502 E BOISE
City MESA
State AZ
ZIP 85205-8162
Accounting period End 12
Primary contact name DR DANITA APPLEWHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANITA APPLEWHITE
OFFICER
5502 E BOISE ST
MESA AZ 85205

Officer/Director/Trustee Two

KIM OWENS
VICE PRESIDENT
153 CHARBRAY
PATTERSON CA 95363

Officer/Director/Trustee Three

NAZIM RASHID
DIRECTOR
P O BOX 523
PHOENIX AZ 85323

Officer/Director/Trustee Four

BEVERLY POELLNITZ
DIRECTOR
7000 N 16TH ST STE 120
PHOENIX AZ 85020

Organization’s website WWWWHITEAPPLEINSTITUTEORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2013
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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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