FORM 1023-EZ for EXCELSIOR FOUNDATION FOR FAMILY WELLNESS INC

Field Data
EIN 83-3147871
Case Number EO-2019035-000972
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXCELSIOR FOUNDATION FOR FAMILY WELLNESS INC
Organization’s Mailing Address 306 COMMECIAL DRIVE
City SAVANNAH
State GA
ZIP 31406
Accounting period End 12
Primary contact name ALBERT THOMAS CRAMER II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALBERT CRAMER II
MEMBER
306 COMMERCIAL DRIVE
SAVANNAH GA 31406

Officer/Director/Trustee Two

SHAUNA JOYE
MEMBER
306 COMMERCIAL DRIVE
SAVANNAH GA 31406

Organization’s website
Organization’s email TCRAMER@JOYEPSYC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and 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 No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALBERT CRAMER II
Signature Title MEMBER
Signature Date 1/15/19

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