FORM 1023-EZ for TOTAL WOMEN HOLISTIC ENTERPRISE INC

Field Data
EIN 87-1930350
Case Number EO-2021214-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOTAL WOMEN HOLISTIC ENTERPRISE INC
Organization’s Mailing Address 21645 POWHATAN RD APT 12
City APPLE VALLEY
State CA
ZIP 92308
Accounting period End 3
Primary contact name PHYLLIS JACKSON-SOUTHALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHYLLIS JACKSON-SOUTHALL
PRESIDENT
21645 POWHATAN RD APT 12
APPLE VALLEY CA 92308

Officer/Director/Trustee Two

LATASHA MILES
SECRETARY
9637 LOST PROSPECT
LAS VEGAS NV 89178

Officer/Director/Trustee Three

JORDAN LAMPKIN
TREASURE
9637 LOST PROSPECT
LAS VEGAS NV 89178

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PHYLLIS JACKSON-SOUTHALL
Signature Title PRESIDENT
Signature Date 7/30/2021

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