| Field | Data |
|---|---|
| EIN | 46-1870117 |
| Case Number | EO-2015037-000119 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ADAWEHI HEALTH INITIATIVE INC |
| Organization’s Mailing Address | P O BOX 1549 |
| City | COLUMBUS |
| State | NC |
| ZIP | 28722-1549 |
| Accounting period End | 12 |
| Primary contact name | E RODNEY BOOTH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
RODNEY BOOTH
PRESIDENT
8638 NC HWY 9 SOUTH
COLUMBUS NC 28722
RUSSELL WOODS
VICE PRESIDENT
P O BOX 1206
COLUMBUS NC 28722-1206
ROULETTEI GILDERSLEEVE
SECRETARY
P O BOX 787
COLUMBUS NC 28722-0787
JENNIFER WOODS
TREASURER
P O BOX 1549
COLUMBUS NC 28722-1549
MARK WOODBRIDGE
ADVISER
1894 FOX MOUNTAIN ROAD
COLUMBUS NC 28722
| Organization’s website | NONE |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/16/2013 |
| Organization Incorporation State | NC |
| 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: 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 | No |
| 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 | Yes |
| One Third Support Gifts | No |
| 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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