FORM 1023-EZ for SOULSHINE INTEGRATIVE WELLNESS INC

Field Data
EIN 83-2063954
Case Number EO-2018310-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOULSHINE INTEGRATIVE WELLNESS INC
Organization’s Mailing Address 620 N 3RD AVENUE
City TUCSON
State AZ
ZIP 85705-7856
Accounting period End 12
Primary contact name KELLY WILT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY WILT
PRESIDENT AND DIRECTOR
620 N 3RD AVE
TUCSON AZ 85705-7856

Officer/Director/Trustee Two

TYLER STINSON
VICE PRESIDENT AND DIRECTOR
620 N 3RD AVE
TUCSON AZ 85705-7856

Officer/Director/Trustee Three

DANIELLE MELNICK
TREASURER AND DIRECTOR
620 N 3RD AVE
TUCSON AZ 85705-7856

Organization’s website WWW.SEEMYSOULSHINE.ORG
Organization’s email HELLO@SEEMYSOULSHINE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 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 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 KELLY WILT
Signature Title PRESIDENT AND DIRECTOR
Signature Date 11/4/18

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