FORM 1023-EZ for NU WELLNESS DEVELOPMENT FOUNDATION

Field Data
EIN 83-3326623
Case Number EO-2019130-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NU WELLNESS DEVELOPMENT FOUNDATION
Organization’s Mailing Address 4560 ADMIRALTY WAY SUITE 302
City MARINA DEL REY
State CA
ZIP 90292
Accounting period End 12
Primary contact name KENNETH BRIDGES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERILYN LEE
CHIEF EXECUTIVE OFFICER
4560 ADMIRALTY WAY SUITE 302
MARINA DEL REY CA 90292

Officer/Director/Trustee Two

CHERILYN LEE
SECRETARY
4560 ADMIRALTY WAY SUITE 302
MARINA DEL REY CA 90292

Officer/Director/Trustee Three

CHERILYN LEE
CHIEF FINANCIAL OFFICER
4560 ADMIRALTY WAY
MARINA DEL REY CA 90292

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 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 CHERILYN LEE
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 5/8/19

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