FORM 1023-EZ for ACUPUNCTURE FOR HEALTH AND WELLNESSNFP

Field Data
EIN 82-5513262
Case Number EO-2018197-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACUPUNCTURE FOR HEALTH AND WELLNESSNFP
Organization’s Mailing Address 13128 TOTEM LAKE BLVD NE SUITE 206
City KIRKLAND
State WA
ZIP 98034
Accounting period End 12
Primary contact name HEATHER KETTNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER KETTNER
DIRECTOR AND PRESIDENT/TREASURER
9013 NE 136TH STREET
KIRKLAND WA 98034

Officer/Director/Trustee Two

DEBORAH VAN VELDHUIZEN
SECRETARY
22226 PARADISE LAKE ROAD
SNOWHOMISH WA 98296

Officer/Director/Trustee Three

CAITLIN QUINBY
DIRECTOR
6533 44TH AVE SW
SEATTLE WA 98136

Officer/Director/Trustee Four

TARYN RATHBONE-DAUB
DIRECTOR
15400 210TH AVE NE
WOODINVILLE WA 98077

Organization’s website ACUFORHEALTHANDWELLNESS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical 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 Yes
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 HEATHER KETTNER
Signature Title DIRECTOR AND PRESIDENT/TREASURER
Signature Date 7/13/18

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