FORM 1023-EZ for SEEKHEALING

Field Data
EIN 81-4832857
Case Number EO-2017101-000074
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEEKHEALING
Organization’s Mailing Address 21986 HYDE PARK DRIVE
City ASHBURN
State VA
ZIP 20147
Accounting period End 12
Primary contact name JENNIFER NICOLAISEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER NICOLAISEN
PRESIDENT
21986 HYDE PARK DRIVE
ASHBURN VA 20147

Officer/Director/Trustee Two

KYLA TRAINOR
VICE PRESIDENT
110 CEDAR BEND PLACE
NASHVILLE TN 37221

Officer/Director/Trustee Three

JOSHUA GINSBERG
DIRECTOR OF AUTOMATION
13741 SALLY RIDE WAY
HERNDON VA 20171

Officer/Director/Trustee Four

AMANDA STRAUGHN
DIRECTOR OF PROGRAM MGMT
1137 CHADFORD ROAD
IRMOS SC 29063

Officer/Director/Trustee Five

RACHEL WURZMAN
DIRECTOR OF SCIENCE
4537 SPRUCE STREET SUITE B1
PHILADELPHIA PA 19139

Organization’s website WWW.SEEKHEALING.ORG
Organization’s email JENNIFER@SEEKHEALING.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2016
Organization Incorporation State VA
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 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 No
One Third Support Gifts Yes
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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