FORM 1023-EZ for ACE WELLNESS OHIO

Field Data
EIN 85-1930162
Case Number EO-2020209-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACE WELLNESS OHIO
Organization’s Mailing Address 398 W BAGLEY RD STE 216
City BEREA
State OH
ZIP 44017
Accounting period End 7
Primary contact name NICOLE BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NEHEMIAH GUY
BOARD DIRECTOR
3705 ROCKY RIVER DR
CLEVELAND OH 44017

Officer/Director/Trustee Two

DAPHNE DAVIS
BOARD DIRECTOR
316 OLENTANGY MEADOWS DR
LEWIS CENTER OH 43035

Officer/Director/Trustee Three

MALEEKA SMITH
BOARD DIRECTOR
7469 BARRISTER DR
DUBLIN OH 43016

Officer/Director/Trustee Four

NILISHA WILLIAMS
CHIEF EXECUTIVE OFFICER
8269 TUCKER DR
NORTH RIDGEVILLE OH 44039

Officer/Director/Trustee Five

NICOLE BROOKS
CHIEF OPERATING OFFICER
8725 HONEYCUT DR
NORTH RIDGEVILLE OH 44039

Organization’s website WWW.ACEWELLNESSOHIO.COM
Organization’s email ACE.WELLNESS@ACEWELLNESSOHIO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NILISHA WILLIAMS
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 7/20/2020

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