FORM 1023-EZ for MASS WELLNESS INITIATIVE CORPORATION

Field Data
EIN 83-1547245
Case Number EO-2020234-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASS WELLNESS INITIATIVE CORPORATION
Organization’s Mailing Address 7 TINKHAM AVENUE
City BURLINGTON
State MA
ZIP 01803
Accounting period End 1
Primary contact name DHANASHREE RAMACHANDRAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DHANASHREE ANANDI RAMACHANDRAN
PRESIDENT
7 TINKHAM AVENUE
BURLINGTON MA 01803

Officer/Director/Trustee Two

AJAY JAISINGH
TREASURER
12 HORSENECK DRIVE
SHREWSBURY MA 01545

Officer/Director/Trustee Three

RAM CHELAKARA
SECRETARY
7 TINKHAM AVENUE
BURLINGTON MA 01803

Officer/Director/Trustee Four

MARY TRUONG
VICE PRESIDENT
5 BAYSIDE ROAD
SQUANTUM MA 02171

Officer/Director/Trustee Five

KANCHAN BANERJEE
DIRECTOR
109 GULLIVER STREET
MILTON MA 02186

Organization’s website WWW.THEMWI.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2018
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 Yes
Conducting Activities Outside of United States Yes
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 DHANASHREE ANANDI RAMACHANDRAN
Signature Title PRESIDENT
Signature Date 8/19/2020

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