FORM 1023-EZ for THE WELLMED FOUNDATION CORPORATION

Field Data
EIN 83-3796776
Case Number EO-2019065-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE WELLMED FOUNDATION CORPORATION
Organization’s Mailing Address 3469 LAWRENCEVILLE HIGHWAY
City TUCKER
State GA
ZIP 30084
Accounting period End 12
Primary contact name ROGER CARTER II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER CARTER II
CE0
4426 HUGH HOWELL RD STE B332
TUCKER GA 30084

Officer/Director/Trustee Two

KEISHA CARTER
SECRETARY
4426 HUGH HOWELL RD STE B-332
TUCKER GA 30084

Organization’s website
Organization’s email CARTERR@WELLMEDATLANTA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROGER CARTER II
Signature Title CE0
Signature Date 3/4/19

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