FORM 1023-EZ for CRESCENT WELLNESS HOUSE INC

Field Data
EIN 85-3384840
Case Number EO-2021083-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRESCENT WELLNESS HOUSE INC
Organization’s Mailing Address 3010 LBJ FREEWAY SUITE 1200
City DALLAS
State TX
ZIP 75234
Accounting period End 12
Primary contact name MAXWELL ALVIN EMILE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAXWELL ALVIN EMILE
PRESIDENT
6333 E MOCKINGBIRD LANE STE 147 PMB
LANCASTER TX 75134

Officer/Director/Trustee Two

JONATHAN OGBONNA
SECRETARY
1346 SPIRIT FALLS DR
FRISCO TX 75033

Officer/Director/Trustee Three

MACKENZY TOUSSAINT
TREASURER
202 WEST PARK PLACE DR
LANCASTER TX 75134

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 Yes
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 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 MAXWELL ALVIN EMILE
Signature Title PRESIDENT
Signature Date 10/9/2020

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