FORM 1023-EZ for RISING SUN WELLNESS CENTER INC

Field Data
EIN 83-1563860
Case Number EO-2020258-000333
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RISING SUN WELLNESS CENTER INC
Organization’s Mailing Address 151 W BRUNDAGE ST
City SHERIDAN
State WY
ZIP 82801-4217
Accounting period End 12
Primary contact name MAUREEN HICKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODERICK FOLEY
DIRECTOR
151 W BRUNDAGE ST
SHERIDAN WY 82801

Officer/Director/Trustee Two

GARY SMALL
SECRETARY
151 W BRUNDAGE ST
SHERIDAN WY 82801

Officer/Director/Trustee Three

LARRY HOFFMAN
TREASURER
804 12TH ST
WHEATLAND WY 82201

Officer/Director/Trustee Four

MAUREEN HICKEY
DIRECTOR
151 W BRUNDAGE ST
SHERIDAN WY 82801

Organization’s website
Organization’s email RSWC@RISINGSUNWELLNESS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2016
Organization Incorporation State WY
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: 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 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 MAUREEN HICKEY
Signature Title DIRECTOR
Signature Date 9/10/2020

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