FORM 1023-EZ for ADIO COMMUNITY WELLNESS

Field Data
EIN 83-3576203
Case Number EO-2019070-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADIO COMMUNITY WELLNESS
Organization’s Mailing Address 225 E CARRILLO ST UNIT 305
City SANTA BARBARA
State CA
ZIP 93101
Accounting period End 12
Primary contact name JACOB STUEBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB STUEBS
PRESIDENT/DIRECTOR
225 E CARRILLO ST UNIT 305
SANTA BARBARA CA 93101

Officer/Director/Trustee Two

MELISSA BLOCK
DIRECTOR
225 E CARRILLO ST UNIT 305
SANTA BARBARA CA 93101

Officer/Director/Trustee Three

JENNA TICO
DIRECTOR
225 E CARRILLO ST UNIT 305
SANTA BARBARA CA 93101

Officer/Director/Trustee Four

ALISON STANLEY
SECRETARY/TREASURER
225 E CARRILLO ST UNIT 305
SANTA BARBARA CA 93101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JACOB STUEBS
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/8/19

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