FORM 1023-EZ for WELLSPRING COMMUNITY RESOURCES INC

Field Data
EIN 84-2870418
Case Number EO-2020090-000085
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLSPRING COMMUNITY RESOURCES INC
Organization’s Mailing Address 16400 NW 2 AVENUE STE 102
City MIAMI
State FL
ZIP 33169
Accounting period End 12
Primary contact name DARVIN E WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARVIN E WILLIAMS
CHAIRMAN/PRESIDENT
16400 NW 2 AVENUE STE 102
MIAMI FL 33169

Officer/Director/Trustee Two

MICHELLE C POWER
VICE PRESIDENT
16400 NW 2 AVENUE STE 102
MIAMI FL 33169

Officer/Director/Trustee Three

STEPHANIE SMALL-DIAZ
SECRETARY
16400 NW 2 AVENUE STE 102
MIAMI FL 33169

Officer/Director/Trustee Four

SAMUEL R MITCHELL
TREASURER
16400 NW 2 AVENUE STE 102
MIAMI FL 33169

Organization’s website N/A
Organization’s email DARVIN1@ME.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 DARVIN E WILLIAMS
Signature Title CHAIRMAN/PRESIDENT
Signature Date 3/26/2020

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