FORM 1023-EZ for ACCESSWELLNESS CORP

Field Data
EIN 83-1889856
Case Number EO-2018317-000471
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACCESSWELLNESS CORP
Organization’s Mailing Address PO BOX 1946
City JACKSON
State WY
ZIP 83001-1946
Accounting period End 12
Primary contact name ABBY DELGOFFE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABBY DELGOFFE
PRESIDENT AND DIRECTOR
PO BOX 1946
JACKSON WY 83001-1946

Officer/Director/Trustee Two

KYLE KRAUSS
TREASURER
PO BOX 1946
JACKSON WY 83001-1946

Officer/Director/Trustee Three

CASEY JILLSON
SECRETARY
PO BOX 1946
JACKSON WY 83001-1946

Officer/Director/Trustee Four

FRANCINE BARTLETT
DIRECTOR
PO BOX 1946
JACKSON WY 83001-1946

Organization’s website WWW.ACCESSWELLNESSJH.COM
Organization’s email ABBY@MWWJH.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/18
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 ABBY DELGOFFE
Signature Title PRESIDENT AND DIRECTOR
Signature Date 11/10/18

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