FORM 1023-EZ for BACK TO WELLNESS ASSOCIATION
| Field | Data |
|---|---|
| EIN | 83-2448074 |
| Case Number | EO-2018313-000101 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BACK TO WELLNESS ASSOCIATION |
| Organization’s Mailing Address | 915 US HWY 224 WEST |
| City | GREENWICH |
| State | OH |
| ZIP | 44837 |
| Accounting period End | 12 |
| Primary contact name | PATRICIA SPEARS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PATRICIA SPEARS
DIRECTOR
915 US HWY 224 W
GREENWICH OH 44837-9402
Officer/Director/Trustee Two
SHARON ROBERTS
MEMBERSHIP CHAIR
3331 NEAL ZICK ROAD
WILLARD OH 44890
Officer/Director/Trustee Three
HEIDI JOHNSON
ASSISTANT DIRECTOR
59 WEST MAIN STREET
GREENWICH OH 44837
| Organization’s website | |
|---|---|
| Organization’s email | BACKTOWELLNESSASSOC@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/6/18 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No 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 | Yes |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | PATRICIA SPEARS |
| Signature Title | DIRECTOR |
| Signature Date | 11/7/18 |
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