FORM 1023-EZ for REHAB SOLUTIONS OF SOUTH FLORIDA INC

Field Data
EIN 81-4875431
Case Number EO-2017059-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REHAB SOLUTIONS OF SOUTH FLORIDA INC
Organization’s Mailing Address 1520 N 40TH AVE
City HOLLLYWOOD
State FL
ZIP 33021
Accounting period End 12
Primary contact name JANETTE FLORES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANETTE FLORES
PRESIDENT
1520 N 40TH AVE
HOLLLYWOOD FL 33021

Officer/Director/Trustee Two

ROBERT FLORES
SECRETARY
1520 N 40TH AVE
HOLLYWOOD FL 33021

Officer/Director/Trustee Three

PATRICK MICHAELIS
TREASURE
3711 SHERIDAN RD UPPER
KENOSHA WI 53140

Organization’s website
Organization’s email REHABSOLUTIONS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical 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 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
Signature Title
Signature Date

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