FORM 1023-EZ for DIVINE HEALTH & WELLNESS CENTER INC

Field Data
EIN 84-2394086
Case Number EO-2019199-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVINE HEALTH & WELLNESS CENTER INC
Organization’s Mailing Address 16 CATALPA CT
City BALTIMORE
State MD
ZIP 21209
Accounting period End 12
Primary contact name TINA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TINA BROWN
PRESIDENT
16 CATALPA CT
BALTIMORE MD 21209

Officer/Director/Trustee Two

SELISA JEFFERSON
SECRETARY
1707 OAKLEIGH CT
PARKVILLE MD 21234

Officer/Director/Trustee Three

KIM WALKER
TREASURER
1209 MORLING AVE
BALTIMORE MD 21211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/19
Organization Incorporation State MD
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: 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 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 TINA BROWN
Signature Title PRESIDENT
Signature Date 7/16/19

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