FORM 1023-EZ for FAMILY STYLE WELLNESS

Field Data
EIN 47-1964281
Case Number EO-2014289-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAMILY STYLE WELLNESS
Organization’s Mailing Address 3344 FOURTH AVENUE SUITE 200
City SAN DIEGO
State CA
ZIP 92101
Accounting period End 6
Primary contact name ALEXIS HERNANDEZ-HONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALEXIS HERNANDEZ-HONS
CHIEF EXECUTIVE OFFICER
3344 FOURTH AVENUE
SAN DIEGO CA 92101

Officer/Director/Trustee Two

JANESSA HERNANDEZ
CHIEF FINANCIAL OFFICER
3803 12TH AVENUE
BROOKLYN NY 11218

Officer/Director/Trustee Three

LEONARD NOEL
BOARD OF DIRECTORS CHAIRPERSON
2423 CAMINO DEL RIO SOUTH SUITE 104
SAN DIEGO CA 92108

Officer/Director/Trustee Four

JANNETTE GARCIA
SECRETARY
1129 RED MAPLE DRIVE
CHULA VISTA CA 91910

Officer/Director/Trustee Five

RONALD HONS
DIRECTOR
5252 BALBOA ARMS DRIVE UNIT 135
SAN DIEGO CA 92117

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 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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