FORM 1023-EZ for HOLISTIC SCIENCE INSTITUTE

Field Data
EIN 32-0434132
Case Number EO-2016116-000353
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLISTIC SCIENCE INSTITUTE
Organization’s Mailing Address 258 A STREET UNIT 209
City ASHLAND
State OR
ZIP 97520
Accounting period End 5
Primary contact name MANUEL FRITZENWALLNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MANUEL FRITZENWALLNER
EXECUTIVE DIRECTOR
258 A STREET UNIT 209
ASHLAND OR 97520-1947

Officer/Director/Trustee Two

STERLING SMITH
SECRETARY
258 A STREET UNIT 209
ASHLAND OR 97520-1947

Officer/Director/Trustee Three

ROGER ARMSTRONG
TREASURER
252 GRANT
ASHLAND OR 97520

Organization’s website WWW.HOLISTICSCIENCEINSTITUTE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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