FORM 1023-EZ for THE WELL PLACE INC

Field Data
EIN 81-1921873
Case Number EO-2016201-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE WELL PLACE INC
Organization’s Mailing Address 141 S BLACK HORSE PIKE SUITE 106
City BLACKWOOD
State NJ
ZIP 08012
Accounting period End 12
Primary contact name CHRISTINE COUCH 856-217-9984
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE COUCH
FINANCE AND OPERATION
736 PRINCE AVE
WILLIAMSTOWN NJ 08094

Officer/Director/Trustee Two

STEPHANIE MOORE
EXECUTIVE DIRECTOR
13 NASHUA DR
sicklerville NJ 08081

Officer/Director/Trustee Three

LEONARD WHITE
SECRETARY
385 UPLAND AVE
Galloway NJ 08205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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