FORM 1023-EZ for THE OLIVE LEAF WELLNESS FOUNDATION

Field Data
EIN 81-1740740
Case Number EO-2016081-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE OLIVE LEAF WELLNESS FOUNDATION
Organization’s Mailing Address 245 WEST 200 NORTH
City BEAVER
State UT
ZIP 84713
Accounting period End 3
Primary contact name JANICE FOSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANICE FOSTER
BOARD PRESIDENT
245 WEST 200 NORTH
BEAVER UT 84713

Officer/Director/Trustee Two

LEONARD FOSTER
BOARD TREASURER
245 WEST 200 NORTH
BEAVER UT 84713

Officer/Director/Trustee Three

PAUL MESSER
BOARD SECUTARY
268 WEST 400 NORTH
BEAVER UT 84713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2016
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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 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
Signature Title
Signature Date

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