FORM 1023-EZ for WEST VIRGINIA WELLNESS INC
| Field | Data |
|---|---|
| EIN | 82-1712629 |
| Case Number | EO-2021173-000092 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WEST VIRGINIA WELLNESS INC |
| Organization’s Mailing Address | P O BOX 1092 |
| City | MOUNDSVILLE |
| State | WV |
| ZIP | 26041-1029 |
| Accounting period End | 12 |
| Primary contact name | KJ BURLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KATHY J BURLEY
PRESIDENT
2 N HIGHLAND AVE
MOUNDSVILLE WV 26041-1029
Officer/Director/Trustee Two
CAROL LILLEY
VICE-PRESIDENT
FLETCHER HILL ROAD
CAMERON WV 26033-1491
Officer/Director/Trustee Three
MARIAN REVEN
RECORDING SECRETARY
110 LOGAN COURT - BOX 135
BETHANY WV 26032-0135
Officer/Director/Trustee Four
BETH ANDES
BOARD MEMBER
158 FISHERS LANE
WHEELING WV 26003-7300
Officer/Director/Trustee Five
KEVIN BRITT
BOARD MEMBER
40 HIDDEN VIEW LANE
MOUNDSVILLE WV 26041-1378
| Organization’s website | |
|---|---|
| Organization’s email | WESTVAWELLNESSINC@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/10/2017 |
| Organization Incorporation State | WV |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | KATHY J BURLEY |
| Signature Title | PRESIDENT |
| Signature Date | 6/18/2021 |
| EIN | 82-1712629 |
| Case Number | EO-2017221-000274 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | WEST VIRGINIA WELLNESS INC |
| Organization’s Mailing Address | 132 LAFAYETTE AVE |
| City | MOUNDSVILLE |
| State | WV |
| ZIP | 26041-1029 |
| Accounting period End | 9 |
| Primary contact name | KJ BURLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KJ BURLEY
DIRECTOR
2 N HIGHLAND AVE
MOUNDSVILLE WV 26041-1029
Officer/Director/Trustee Two
CAROL LILLEY
DIRECTOR
FLETCHER HILL ROAD
CAMERON WV 26033-1491
Officer/Director/Trustee Three
CHERYL COLEGA
DIRECTOR
4060 SWALLOW HILL ROAD
PITTSBURGH PA 15220-1567
Officer/Director/Trustee Four
MARNI REVEN
DIRECTOR
110 LOGAN CT
BETHANY WV 26032
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/10/2017 |
| Organization Incorporation State | WV |
| 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: No 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 | 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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