FORM 1023-EZ for HOLISTIC ALCHEMY

Field Data
EIN 85-3901872
Case Number EO-2021083-000610
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLISTIC ALCHEMY
Organization’s Mailing Address 102 N MAIN ST
City WETUMKA
State OK
ZIP 74883
Accounting period End 11
Primary contact name RACHEL CURYLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW FORT
VICE PRESIDENT
9608 S 78TH EAST AVE
TULSA OK 74133

Officer/Director/Trustee Two

RACHEL CURYLO
FOUNDER
12600 S MINGO ROAD
TULSA OK 74133

Organization’s website
Organization’s email THEHOLISTICALCHEMY@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2020
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural Programs
Organization’s purpose Charitable: Yes
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RACHEL CURYLO
Signature Title FOUNDER
Signature Date 11/16/2020

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