FORM 1023-EZ for NAPA WELLNESS NPS

Field Data
EIN 82-1844582
Case Number EO-2017181-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAPA WELLNESS NPS
Organization’s Mailing Address 1635 1ST STREET
City NAPA
State CA
ZIP 94559-2429
Accounting period End 12
Primary contact name TANYA MILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANYA MILLS
DIRECTOR AND PRESIDENT
371 S HARTSON STREET
NAPA CA 94559-4449

Officer/Director/Trustee Two

FIONA SHELTON
SECRETARY AND TREASURER
1106 HOLMES AVENUE
NAPA CA 94559-4212

Officer/Director/Trustee Three

JENNIFER HERBERT
DIRECTOR
1635 1ST STREET
NAPA CA 94559-2429

Officer/Director/Trustee Four

CHERIE THOMPSON
DIRECTOR
3696 DARTMOUTH DRIVE
NAPA CA 94558-4113

Organization’s website NONE
Organization’s email NAPAWELLNESSNPS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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
Signature Title
Signature Date

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