FORM 1023-EZ for HEALTH AND WELLNESS CENTER FOR VETERANS

Field Data
EIN 81-5111615
Case Number EO-2017111-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTH AND WELLNESS CENTER FOR VETERANS
Organization’s Mailing Address 1619 VAUGHN ROAD
City BURLINGTON
State NC
ZIP 27217
Accounting period End 12
Primary contact name SHARON CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE WINSTEAD
PRESIDENT
1619 VAUGHN ROAD
BURLINGTON NC 27217

Officer/Director/Trustee Two

HOWARD OVERSON
VICE-PRESIDENT
1597 NORTHFIELD ROAD
BURLINGTON NC 27217

Officer/Director/Trustee Three

ANDRE ARNOLD
SECRETARY
1335 WINDSONG DR
GREENVILLE NC 27858

Officer/Director/Trustee Four

KAYE THOMPSON-ROGER
TREASURER
P O BOX 16191
ROXBORO NC 27703

Officer/Director/Trustee Five

MICHAEL JACKSON
PARLIAMENTATARIAN
5021 MRS WHITE LANE
MEBANE NC 27302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
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 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
Signature Title
Signature Date

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