FORM 1023-EZ for WORLD WELLNESS INITIATIVE

Field Data
EIN 83-1263893
Case Number EO-2018225-000382
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WORLD WELLNESS INITIATIVE
Organization’s Mailing Address 61 KENBROOK CIR
City SAN JOSE
State CA
ZIP 95111
Accounting period End 12
Primary contact name LYNN DO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN DO
DIRECTOR AND PRESIDENT
61 KENBROOK CIR
SAN JOSE CA 95111

Officer/Director/Trustee Two

CHAU CAO
TREASURER
2496 EASY ST
SAN LEANDRO CA 94578

Officer/Director/Trustee Three

DAFFODIL NGUYEN
SECRETARY
3075 LONE BLUFF WAY
SAN JOSE CA 95111

Officer/Director/Trustee Four

LINDA DINH
DIRECTOR
866 RIVER PARK DR
SAN JOSE CA 95111

Officer/Director/Trustee Five

VY DANG
DIRECTOR
415 N 8TH ST
SAN JOSE CA 95112

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 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 LYNN DO
Signature Title DIRECTOR AND PRESIDENT
Signature Date 8/10/18

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