| Field | Data |
|---|---|
| EIN | 46-4039184 |
| Case Number | EO-2015005-000100 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SELF HEALTH CLUB OF FLORIDA INC |
| Organization’s Mailing Address | 6836 GREEN SWAMP RD |
| City | CLERMONT |
| State | FL |
| ZIP | 34714-9728 |
| Accounting period End | 12 |
| Primary contact name | PHUNSRI PROMSURIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
PHUNSRI PROMSURIN
DIRECTOR AND PRESIDENT/CEO
6836 GREEN SWAMP RD
CLERMONT FL 34714-9728
POKKRONG PROMSURIN
DIRECTOR/VICE PRESIDENT/TREASURER
6836 GREEN SWAMP RD
CLERMONT FL 34714-9728
CHAREONLAP LENIHAN
DIRECTOR AND SECRETARY
145 MARION OAKS LN
OCALA FL 34473-2631
| Organization’s website | |
|---|---|
| Organization’s email | SELFHEALTHCLUB@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2014 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X50 - Buddhist |
| Organization’s purpose | Charitable: No Religious: Yes 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 | Yes |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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