FORM 1023-EZ for AT THE WELL WOMENS RESTORATION RANCH INC

Field Data
EIN 84-2617492
Case Number EO-2019256-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AT THE WELL WOMENS RESTORATION RANCH INC
Organization’s Mailing Address 1201 MILITARY ROAD STE 2 NO 162
City BENTON
State AR
ZIP 72015
Accounting period End 12
Primary contact name MARIAN WARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIAN WARD
CEO/EXECUTIVE CHAIR
222 BARTON STREET APT B
LITTLE ROCK AR 72205

Officer/Director/Trustee Two

WILLIAM EAKIN
VICE CHAIR
990 DEER VALLEY DRIVE
MALVERN AR 72104

Officer/Director/Trustee Three

AMBERE ADKINS
SECRETARY
111 BUTTERFIELD CROSSING
BENTON AR 72015

Officer/Director/Trustee Four

BOB WARD
PARLIAMENTARIAN
2624 WARD DRIVE
BRYANT AR 72019

Organization’s website ATTHEWELLRANCH.ORG
Organization’s email MLWARD@ATTHEWELL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 Yes
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 MARIAN WARD
Signature Title CEO/EXECUTIVE CHAIR
Signature Date 9/9/19

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