FORM 1023-EZ for NW CENTER 4 WELL BEING NFP

Field Data
EIN 46-4070160
Case Number EO-2014256-000108
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NW CENTER 4 WELL BEING NFP
Organization’s Mailing Address 13908 51ST AVE NW
City GIG HARBOR
State WA
ZIP 98332-9102
Accounting period End 12
Primary contact name ANNETTE PIERCE-MCCLISH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNETTE PIERCE-MCCLISH
DIRECTOR AND PRESIDENT/CEO
13908 51ST AVE NW
GIG HARBOR WA 98332-9102

Officer/Director/Trustee Two

GWENDOLYN KOHL
DIRECTOR AND SECRETARY
5850 SE DOGWOOD ROAD
PORT ORCHARD WA 98367-9319

Officer/Director/Trustee Three

MARTY ROBINSON
DIRECTOR AND TREASURER/CFO
10212 72ND AVE NW
GIG HARBOR WA 98332-8578

Organization’s website NWC4WB.COM
Organization’s email MCCLISHA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 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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