FORM 1023-EZ for SANKOFA COMMUNITY WELLNESS CENTER INC

Field Data
EIN 82-1965208
Case Number EO-2017177-000349
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SANKOFA COMMUNITY WELLNESS CENTER INC
Organization’s Mailing Address 1914 37TH STREET
City WEST PALM BEACH
State FL
ZIP 33407
Accounting period End 12
Primary contact name SHANDRA STRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA ROBINSON
PRESIDENT
1914 37TH STREET
WEST PALM BEACH FL 33407

Officer/Director/Trustee Two

MARY ANN JONES
VICEPRESIDENT
914 DIVISADERO STREET
SAN FRANSISCO CA 94115

Officer/Director/Trustee Three

MARCELLUS DUCREAY
SECRETARY
1153 OAK STREET
SAN FRANSISCO CA 94117

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E21 - Community Health Systems
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
One Third Support Gifts No
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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