FORM 1023-EZ for HOLISTIC WELLNESS CORPORATION

Field Data
EIN 30-1200950
Case Number EO-2021113-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLISTIC WELLNESS CORPORATION
Organization’s Mailing Address PO BOX 778267
City HENDERSON
State NV
ZIP 89077
Accounting period End 12
Primary contact name ALBERT SANTOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOCELYN FERNANDEZ
PRESIDENT
2716 ROBUST COURT
HENDERSON NV 89052

Officer/Director/Trustee Two

ALBERT SANTOS
DIRECTOR
2725 COPILICO TERRACE
HENDERSON NV 89052

Organization’s website
Organization’s email ALBERT@UCFOUNDATION.ONMICROSOFT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2019
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
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 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 ALBERT SANTOS
Signature Title DIRECTOR
Signature Date 4/21/2021

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