| Field | Data |
|---|---|
| EIN | 82-1434655 |
| Case Number | EO-2017132-000249 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SERVICE LANE HEALTHWELLNESS |
| Organization’s Mailing Address | 21 WALTER MARTIN UNIT 4718 |
| City | FORT WALTON BEACH |
| State | FL |
| ZIP | 32549 |
| Accounting period End | 12 |
| Primary contact name | NICOLE CARTER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MAGUELL DAVIS
PRESIDENT
502 DARTMOOR DR APT 204
NEWPORT NEWS VA 23608
STEVEN M LANE
VICE PRESIDENT
414 SAINT NICHOLAS AVE
BREWTON AL 36426
RUBY MOSLEY
TREASURE
412 SAINT NICHOLAS AVE
BREWTON AL 36426
LENSA CROSSFORD
SECRETARY
1436 HOLLYWOOD
FORT WALTON BEACH FL 32547
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/5/2017 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B19 - Nonmonetary Support N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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