FORM 1023-EZ for WOUNDED HEALER INTERNATIONAL

Field Data
EIN 86-3187355
Case Number EO-2021123-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WOUNDED HEALER INTERNATIONAL
Organization’s Mailing Address 825 HIGHLAND AVE
City SOUTH PORTLAND
State ME
ZIP 04106
Accounting period End 12
Primary contact name ROBERT H LEVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF NISCHWITZ
PRESIDENT AND DIRECTOR
825 HIGHLAND AVE
SOUTH PORTLAND ME 04106

Officer/Director/Trustee Two

BERTA MEDINA
SECRETARY AND DIRECTOR
825 HIGHLAND AVE
SOUTH PORTLAND ME 04106

Officer/Director/Trustee Three

DAN CROWLEY
TREASURER AND DIRECTOR
825 HIGHLAND AVE
SOUTH PORTLAND ME 04106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2021
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I73 - Sexual Abuse, Prevention of
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 Yes
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 JEFF NISCHWITZ
Signature Title PRESIDENT AND DIRECTOR
Signature Date 4/29/2021

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