FORM 1023-EZ for SOLANO WOMEN IN MEDICINE INC

Field Data
EIN 84-2925679
Case Number EO-2020108-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOLANO WOMEN IN MEDICINE INC
Organization’s Mailing Address 952 SCHOOL STREET BOX 266
City NAPA
State CA
ZIP 94559-2826
Accounting period End 12
Primary contact name DIANNE THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANNE THOMPSON
CEO
952 SCHOOL STREET BOX 266
NAPA CA 94559-2826

Officer/Director/Trustee Two

KAREN RELUCIO MD
ACES CHAIR
952 SCHOOL STREET BOX 266
NAPA CA 94559-2826

Officer/Director/Trustee Three

JULIANN FISHER-BATISTE MBA
SECRETARY-TREASURER
952 SCHOOL STREET BOX 266
NAPA CA 94559-2826

Officer/Director/Trustee Four

MARY LOU LICWINKO JD
FUNDRAISING CHAIR
952 SCHOOL STREET BOX 266
NAPA CA 94559-2826

Officer/Director/Trustee Five

DONNA SEABROOKS MD
CHAIRMAN
952 SCHOOL STREET BOX 266
NAPA CA 94559-2826

Organization’s website WWW.SOLANOWOMENINMEDICINE.ORG
Organization’s email DIANNE@SOLANOWOMENINMEDICINE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
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 Yes
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 No
Correctness Declaration Yes
Signature Name DIANNE THOMPSON
Signature Title CEO
Signature Date 4/15/2020

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