FORM 1023-EZ for THE WELLNESS CO-OP INC

Field Data
EIN 84-5039497
Case Number EO-2020071-000408
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE WELLNESS CO-OP INC
Organization’s Mailing Address 2720 MALCORE DR
City GREEN BAY
State WI
ZIP 54302
Accounting period End 12
Primary contact name ABBY BAUMGART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABBY BAUMGART
PRESIDENT
2720 MALCORE DR
GREEN BAY WI 54302

Officer/Director/Trustee Two

CHRISTOPHER HUNTLEY
VICE-PRESIDENT
2720 MALCORE DR
GREEN BAY WI 54302

Officer/Director/Trustee Three

JORDYN ARCHAMBEAU
SECRETARY
1475 HAEN DR
KAUKAUNA WI 54130

Officer/Director/Trustee Four

SARA BRAUNSDORF
TREASURER
1248 PERSHING RD APT 80
DEPERE WI 54115

Organization’s website
Organization’s email THEWELLNESSCOOPWI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 No
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 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 ABBY BAUMGART
Signature Title PRESIDENT
Signature Date 3/9/2020

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