FORM 1023-EZ for WAWA ABA WELLNESS CORP

Field Data
EIN 20-1868931
Case Number EO-2019077-000606
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAWA ABA WELLNESS CORP
Organization’s Mailing Address 15757 PINES BLVD STE 107
City PEMBROKE PINES
State FL
ZIP 33027
Accounting period End 12
Primary contact name ROBERT VASSALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MENA YAA BRADUA
PRESIDENT, DIRECTOR
15757 PINES BLVD STE 107
PEMBROKE PINES FL 33027

Officer/Director/Trustee Two

HEATHER BRATHWAITE
SECRETARY, DIRECTOR
15757 PINES BLVD STE 107
PEMBROKE PINES FL 33027

Officer/Director/Trustee Three

ROBERT VASSALL
TREASURER, DIRECTOR
15757 PINES BLVD STE 107
PEMBROKE PINES FL 33027

Officer/Director/Trustee Four

QUACIE GILCHRIST
DIRECTOR
15757 PINES BLVD STE 107
PEMBROKE PINES FL 33027

Organization’s website WWW.WAWA-ABA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/04
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 ROBERT VASSALL
Signature Title TREASURER, DIRECTOR
Signature Date 3/15/19

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