FORM 1023-EZ for WELL WORKS

Field Data
EIN 82-4958156
Case Number EO-2018089-000412
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELL WORKS
Organization’s Mailing Address 8902 E VIA LINDA 110-1011
City SCOTTSDALE
State AZ
ZIP 85258
Accounting period End 12
Primary contact name TANISHA FANNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANISHA FANNEY
CHIEF EXECUTIVE OFFICER
555 W MIDDLEFIELD ROAD L108
MOUNTAIN VIEW CA 94043

Officer/Director/Trustee Two

SHAWN DENZEIL FANNEY
EXECUTIVE OFFICER OF OPERATIONS
6507 BANCROFT AVENUE
OAKLAND CA 94605

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 TANISHA FANNEY
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/28/18

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