FORM 1023-EZ for TOTAL HEALTH WELLNESS COMMUNITY CARE INC

Field Data
EIN 81-2251144
Case Number EO-2016165-000406
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOTAL HEALTH WELLNESS COMMUNITY CARE INC
Organization’s Mailing Address 1492 E BROAD ST SUITE 1203
City COLUMBUS
State OH
ZIP 43205-1546
Accounting period End 12
Primary contact name GEORGE LIMBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROLYN SLACK
PRESIDENT
1492 E BROAD ST SUITE 1203
COLUMBUS OH 43205-1546

Officer/Director/Trustee Two

DANIELLE WILLIS
VICE PRESIDENT
1492 E BROAD ST SUITE 1203
COLUMBUS OH 43205-1546

Officer/Director/Trustee Three

ERNEST JOHNSON
TREASURER
1492 E BROAD ST SUITE 1203
COLUMBUS OH 43205-1546

Officer/Director/Trustee Four

GEORGE LIMBERT
SECRETARY
1492 E BROAD ST SUITE 1203
COLUMBUS OH 43205-1546

Officer/Director/Trustee Five

CANDY RINEHART
CEO
1492 E BROAD ST SUITE 1203
COLUMBUS OH 43205-1546

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support 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 No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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