FORM 1023-EZ for GAMING AND WELLNESS ASSOCIATION INC

Field Data
EIN 84-3923802
Case Number EO-2021246-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GAMING AND WELLNESS ASSOCIATION INC
Organization’s Mailing Address 3768 PLUM HILL CT
City ELLICOTT CITY
State MD
ZIP 21042-5122
Accounting period End 12
Primary contact name MICHELLE COLDER CARRAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MASLAND
OFFICER
5 SPRING CREEK CIRCLE
GETTYSBURG PA 17325

Officer/Director/Trustee Two

STORM HOGAN
OFFICER
2800 RIDGE ROAD
WINDSOR MILL MD 21244

Officer/Director/Trustee Three

DWAYNE SMITH
OFFICER
8977 CANNON RIDGE DR
MANASSAS VA 20110

Officer/Director/Trustee Four

MICHELLE COLDER CARRAS
OFFICER
3768 PLUM HILL CT
ELLICOTT CITY MD 21042-5122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2019
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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 MICHELLE COLDER CARRAS
Signature Title OFFICER
Signature Date 9/1/2021

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