FORM 1023-EZ for WELLMIND NJ INC
| Field | Data |
|---|---|
| EIN | 84-2514921 |
| Case Number | EO-2021162-000085 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WELLMIND NJ INC |
| Organization’s Mailing Address | 684 SPRINGFIELD AVENUE |
| City | SUMMIT |
| State | NJ |
| ZIP | 07901 |
| Accounting period End | 7 |
| Primary contact name | GREG MCRAY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ALLEN KHADEMI
PRESIDENT-DIRECTOR
684 SPRINGFIELD AVENUE
SUMMIT NJ 07901
Officer/Director/Trustee Two
TATIANA SCHRAGER
TREASURER-DIRECTOR
818 GREENWICH STREET
NEW YORK NY 10014
Officer/Director/Trustee Three
SARAH LYNN
SECRETARY-DIRECTOR
2 W NORTHFIELD ROAD SUITE 212
LIVINGSTON NJ 07039
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/8/2019 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B99 - Education N.E.C. |
| 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 | No |
| Donation of funds | Yes |
| 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 | ALLEN KHADEMI |
| Signature Title | PRESIDENT-DIRECTOR |
| Signature Date | 6/9/2021 |
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