FORM 1023-EZ for JAMES HOLLISTER WELLNESS FOUNDATIONLTD

Field Data
EIN 47-5274027
Case Number EO-2016218-000044
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAMES HOLLISTER WELLNESS FOUNDATIONLTD
Organization’s Mailing Address 4804 TOPPING RD
City ROCKVILLE
State MD
ZIP 20852-2328
Accounting period End 12
Primary contact name STEFANO BRUGNEROTTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEFANO BRUGNEROTTO
CFO
4804 TOPPING ROAD
ROCKVILLE MD 20852-2328

Officer/Director/Trustee Two

MATTHEW HOLLISTER
CEO
3312 ASHMORE COURT
OLNEY MD 20832-2530

Organization’s website
Organization’s email STEFANO@JHWELLNESSFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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