FORM 1023-EZ for BE WELL COMMUNITY

Field Data
EIN 83-1755320
Case Number EO-2018267-000150
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BE WELL COMMUNITY
Organization’s Mailing Address 255 HOPE STREET
City PROVIDENCE
State RI
ZIP 2906
Accounting period End 12
Primary contact name KRISTIN KOLESAR FABRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTIN KOLESAR FABRIS
DIRECTOR/PRESIDENT
255 HOPE STREET
PROVIDENCE RI 2906

Officer/Director/Trustee Two

ELIZABETH GUARDIA GUARDIA
DIRECTOR
255 HOPE STREET
PROVIDENCE RI 2906

Officer/Director/Trustee Three

BRITTANY DROZD
DIRECTOR
255 HOPE STREET
PROVIDENCE RI 2906

Officer/Director/Trustee Four

SHERRIE SALINGER
SECRETARY/TREASURER
255 HOPE STREET
PROVIDENCE RI 2906

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/18
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 KRISTIN KOLESAR FABRIS
Signature Title DIRECTOR/PRESIDENT
Signature Date 9/20/18

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