FORM 1023-EZ for THE CORONER EMPLOYEE WELLNESS FUND

Field Data
EIN 82-4331052
Case Number EO-2018176-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CORONER EMPLOYEE WELLNESS FUND
Organization’s Mailing Address 1704 PINTO LANE
City LAS VEGAS
State NV
ZIP 89106
Accounting period End 12
Primary contact name NICOLE CHARLTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE CHARLTON
PRESIDENT
1704 PINTO LANE
LAS VEGAS NV 89106

Officer/Director/Trustee Two

PAMELA STARR
TREASURER
1704 PINTO LANE
LAS VEGAS NV 89106

Officer/Director/Trustee Three

JASON GINOZA
SECRETARY
1704 PINTO LANE
LAS VEGAS NV 89106

Officer/Director/Trustee Four

SUZANNE MIELE
DIRECTOR
1704 PINTO LANE
LAS VEGAS NV 89106

Officer/Director/Trustee Five

FELICIA BORLA
DIRECTOR
1704 PINTO LANE
LAS VEGAS NV 89106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/18
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 NICOLE CHARLTON
Signature Title PRESIDENT
Signature Date 6/21/18

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