FORM 1023-EZ for BEYOND WELLNESS CLUB INC

Field Data
EIN 81-4762080
Case Number EO-2017011-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEYOND WELLNESS CLUB INC
Organization’s Mailing Address 15339 WIMBORNE LN
City NAPLES
State FL
ZIP 34110
Accounting period End 12
Primary contact name URSULA KAISER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

URSULA KAISER
PRESIDENT, DIRECTOR
15339 WIMBORNE LN
NAPLES FL 34110

Officer/Director/Trustee Two

HELVE MUST
SECRETARY, DIRECTOR
1280 HENLEY ST STE 1606
NAPLES FL 34105

Officer/Director/Trustee Three

CAROLINE THONON
TREASURER, DIRECTOR
706 W MARION AVE
PUNTA GORDA FL 33950

Officer/Director/Trustee Four

DOLORES HARRIS
DIRECTOR
4801 BONITA BAY BLVD STE 604
BONITA SPRINGS FL 34134

Officer/Director/Trustee Five

JENNIFER FOSTER
DIRECTOR
9140 CAROLINA ST
BONITA SPRINGS FL 34135

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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