FORM 1023-EZ for HOWARD COUNTY WELLNESS INSTITUTE
| Field | Data |
|---|---|
| EIN | 45-5611290 |
| Case Number | EO-2014318-000247 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HOWARD COUNTY WELLNESS INSTITUTE |
| Organization’s Mailing Address | P O BOX 406 |
| City | SAINT PAUL |
| State | NE |
| ZIP | 68873 |
| Accounting period End | 6 |
| Primary contact name | CYNTHIA K RASMUSSEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
ROGER WELLS PAC
PRESIDENT
1518 JAY STREET
SAINT PAUL NE 68873
Officer/Director/Trustee Two
FRANCINE RASMUSSEN
VICE PRESIDENT
2189 SALEM ROAD
ELBA NE 68835
Officer/Director/Trustee Three
LEIGH LILLIBRIDGE
SECRETARY
1603 MEADOW ROAD
GRAND ISLAND NE 68803
Officer/Director/Trustee Four
CYNTHIA K RASMUSSEN
EXECUTIVE OPERATING OFFICER
1964 INMAN ROAD
SAINT PAUL NE 68873
Officer/Director/Trustee Five
LOREN STUDLEY
OFFICER
1412 WALLACE STREET
SAINT PAUL NE 68873
| Organization’s website | |
|---|---|
| Organization’s email | CRASMUSSEN@HCMC.US.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/2/2013 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N30 - Physical Fitness and Community Recreational Facilities |
| Organization’s purpose | Charitable: No 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 | 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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