FORM 1023-EZ for SEXUAL HEALTH AND WELLNESS INSTITUTE

Field Data
EIN 47-3413679
Case Number EO-2017283-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEXUAL HEALTH AND WELLNESS INSTITUTE
Organization’s Mailing Address 207 W 5TH AVENUE
City EUGENE
State OR
ZIP 97401-2604
Accounting period End 12
Primary contact name LORI BUMGARDNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WENDY STRGAR
PRESIDENT
207 W 5TH AVENUE
EUGENE OR 97401-2604

Officer/Director/Trustee Two

RACHEL RATLIFF-CARLETON
TREASURER
2094 DOGWOOD DRIVE
EUGENE OR 97405-7007

Officer/Director/Trustee Three

LORI BUMGARDNER
SECRETARY
2483 MANGAN STREET
EUGENE OR 97402-8724

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
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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