FORM 1023-EZ for WELLNESS FOUNDATION

Field Data
EIN 84-5080048
Case Number EO-2020310-000543
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLNESS FOUNDATION
Organization’s Mailing Address 975 SEVEN HILLS DR 3325
City HENDERSON
State NV
ZIP 89052
Accounting period End 12
Primary contact name DAWN RIERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN RIERSON
PRESIDENT
975 SEVEN HILLS DR 3325
HENDERSON NV 89052

Officer/Director/Trustee Two

MICHAEL ESKRIDGE
SECRETARY
975 SEVEN HILS DR 3325
HENDERSON NV 89052

Organization’s website WWW.YOURWELLNESSFOUNDATION.COM
Organization’s email ADMIN@YOURWELLNESSFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2020
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
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 DAWN RIERSON
Signature Title PRESIDENT
Signature Date 11/3/2020

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