FORM 1023-EZ for HELMT MEDICAL CENTER INC

Field Data
EIN 85-1079349
Case Number EO-2020153-000101
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HELMT MEDICAL CENTER INC
Organization’s Mailing Address 3959 VAN DYKE RD
City LUTZ
State FL
ZIP 33558
Accounting period End 12
Primary contact name PAMELA NOEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA NOEL
PRESIDENT
17015 MIDAS LANE
LUTZ FL 33549

Officer/Director/Trustee Two

DON NOEL
VICE PRESIDENT
17015 MIDAS LANE
LUT FL 33549

Officer/Director/Trustee Three

EMILE DAMISSE
SECRETARY
2654 SAWYER TERRACE
WELLINGTON FL 33414

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 Yes
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 PAMELA NOEL
Signature Title PRESIDENT
Signature Date 5/29/2020

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