FORM 1023-EZ for RENEW YOU CHIROPRACTIC OUTREACH

Field Data
EIN 83-1755075
Case Number EO-2018273-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RENEW YOU CHIROPRACTIC OUTREACH
Organization’s Mailing Address 546 WOODSIDE DRIVE
City VALDEZ
State AK
ZIP 99686
Accounting period End 12
Primary contact name GARETT WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARETT WILLIAMS
DIRECTOR/PRESIDENT
546 WOODSIDE DRIVE
VALDEZ AK 99686

Officer/Director/Trustee Two

TONI EMERALD
DIRECTOR
546 WOODSIDE DRIVE
VALDEZ AK 99686

Officer/Director/Trustee Three

RICHARD KIRKPATRICK
DIRECTOR
546 WOODSIDE DRIVE
VALDEZ AK 99686

Officer/Director/Trustee Four

LARISSA WILLIAMS
SECRETARY/TREASURER
546 WOODSIDE DRIVE
VALDEZ AK 99686

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/18
Organization Incorporation State AK
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: 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 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 GARETT WILLIAMS
Signature Title DIRECTOR/PRESIDENT
Signature Date 9/26/18

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