FORM 1023-EZ for NEXT LEVEL WELLNESS INC

Field Data
EIN 82-1800982
Case Number EO-2018106-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEXT LEVEL WELLNESS INC
Organization’s Mailing Address 2860 10TH AVE N STE 55
City GRAND FORKS
State ND
ZIP 58203-2262
Accounting period End 12
Primary contact name STEVE WISETH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE WISETH
DIRECTOR/PRESIDENT/TREASURER
806 HORACE AVE N
THIEF RVR FLS MN 56701

Officer/Director/Trustee Two

KRISTINA WISETH
SECRETARY
806 HORACE AVE N
THIEF RVR FLS MN 56701

Officer/Director/Trustee Three

JEFF GAUSS
DIRECTOR
606 15TH ST NW
E GRAND FORKS MN 56721-1407

Officer/Director/Trustee Four

NOLAN NORDLUND
DIRECTOR
1429 COTTONWOOD ST
GRAND FORKS ND 58201-5521

Organization’s website WWW.NEXTLEVELWELLNESS.ORG
Organization’s email STEVE.WISETH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/17
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative 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 Yes
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 STEVE WISETH
Signature Title DIRECTOR/PRESIDENT/TREASURER
Signature Date 4/6/18

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