FORM 1023-EZ for HERBAL GARDENS WELLNESS

Field Data
EIN 46-2243616
Case Number EO-2018012-000299
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERBAL GARDENS WELLNESS
Organization’s Mailing Address PO BOX 1115
City WEST YELLOWSTONE
State MT
ZIP 59758-1115
Accounting period End 4
Primary contact name NANCY KOCHIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HANME CLARK
VICE PRESIDENT
PO BOX 1115
WEST YELLOWSTONE MT 59758

Officer/Director/Trustee Two

NANCY KOCHIS
PRESIDENT
PO BOX 1115
WEST YELLOWSTONE MT 59758

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/13
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NANCY KOCHIS
Signature Title PRESIDENT
Signature Date 1/10/18
EIN 46-2243616
Case Number EO-2014226-000177
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HERBAL GARDENS WELLNESS
Organization’s Mailing Address 7281 UTICA STREET
City WESTMINSTER
State CO
ZIP 80030-5109
Accounting period End 12
Primary contact name NANCY MEDINA KOCHIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NANCY MEDINA KOCHIS
VICE-PRESIDENT, CO-CHAIRMAN
7281 UTICA STREET
WESTMINSTER CO 80030-5109

Officer/Director/Trustee Two

HANME CLARK
PRESIDENT, CO-CHAIRMAN
7281 UTICA STREET
WESTMINSTER CO 80030-5109

Organization’s website HTTP://HERBALGARDENSWELLNESS.BLOGSPOT.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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