FORM 1023-EZ for THE WELLNESS RANCH
| Field | Data |
|---|---|
| EIN | 82-3839624 |
| Case Number | EO-2018051-000075 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE WELLNESS RANCH |
| Organization’s Mailing Address | 18602 COUCH MARKET RD |
| City | BEND |
| State | OR |
| ZIP | 97703 |
| Accounting period End | 12 |
| Primary contact name | JASON BURDGE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JASON BURDGE
BOARD PRESIDENT
18602 COUCH MARKET RD
BEND OR 97703
Officer/Director/Trustee Two
VICKI DICKERMAN
TREASURER
16000 S BEAVER GLEN DR
OREGON CITY OR 97045
Officer/Director/Trustee Three
MATT BASSITT
BOARD MEMBER
1051 NW BOND ST STE 410
BEND OR 97703
Officer/Director/Trustee Four
CHRISTINA DAVENPORT
SECRETARY
18602 COUCH MARKET RD
BEND OR 97703
Officer/Director/Trustee Five
CASSANDRA CURRY
BOARD MEMBER
16000 S BEAVER GLEN DR
OREGON CITY OR 97045
| Organization’s website | WWW.THEWELLRANCH.ORG |
|---|---|
| Organization’s email | INFO@THEWELLRANCH.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/3/18 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F30 - Mental Health Treatment - Multipurpose and 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JASON BURDGE |
| Signature Title | BOARD PRESIDENT |
| Signature Date | 2/15/18 |
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