FORM 1023-EZ for THE SHAMLIN HEALTH AND WELLNESS FOUNDATION

Field Data
EIN 81-4792916
Case Number EO-2016364-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SHAMLIN HEALTH AND WELLNESS FOUNDATION
Organization’s Mailing Address 7150 JEFFERSON HIGHWAY SUITE 530
City BATON ROUGE
State LA
ZIP 70806
Accounting period End 12
Primary contact name DR TASHA SHAMLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRUNETTA SHAMLIN
PRESIDENT
402 STARING LANE
BATON ROUGE LA 70810

Officer/Director/Trustee Two

GWYNN SHAMLIN
VICE PRESIDENT
19434 CREEKROUND AVENUE
BATON ROUGE LA 70817

Officer/Director/Trustee Three

TASHA SHAMLIN
SECRETARY
18652 MOSSY OAK COURT
PRAIRIEVILLE LA 70769

Officer/Director/Trustee Four

KENYATTA SHAMLIN
TREASURER
10414 WOOD DUCK DRIVE
BATON ROUGE LA 70817

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 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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