FORM 1023-EZ for QUEENBEE HEALTH AND WELLNESS

Field Data
EIN 84-4701698
Case Number EO-2020045-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUEENBEE HEALTH AND WELLNESS
Organization’s Mailing Address 8383 AIRLINE HIGHWAY APARTMENT 29
City BATON ROUGE
State LA
ZIP 70815
Accounting period End 12
Primary contact name ROMMEL RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROMMEL RUSSELL
PRESIDIENT
8383 AIRLINE HIGHWAY APARTMENT 29
BATON ROUGE LA 70815

Officer/Director/Trustee Two

DIONNE BUTLER
VICE PRESIDENT
11320 GREENWELL SPRINGS RD APT 2202
BATON ROUGE LA 70814

Officer/Director/Trustee Three

BARBARA MORRIS
SECRETARY
13243 BABIN ESTATES DRIVE
BATON ROUGE LA 70737

Officer/Director/Trustee Four

LAKISKA TOLIVER
TREASURER
13370 GREEN VIEW AVENUE
BATON ROUGE LA 70816

Officer/Director/Trustee Five

GERALD HENDERSON
MEMBER
15360 SCHAEFER HWY
DETROIT MI 48227

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2020
Organization Incorporation State LA
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: 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 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 ROMMEL RUSSELL
Signature Title PRESIDIENT
Signature Date 2/12/2020

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