FORM 1023-EZ for SYMPHONY INTEGRATED HEALTHCARE INC

Field Data
EIN 85-0871457
Case Number EO-2020126-000129
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SYMPHONY INTEGRATED HEALTHCARE INC
Organization’s Mailing Address 926 KOKOMO KEY LANE
City DELRAY BEACH
State FL
ZIP 33483
Accounting period End 12
Primary contact name JENNIFER WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER WILSON
DIRECTOR
926 KOKOMO KEY LANE
DELRAY BEACH FL 33483

Officer/Director/Trustee Two

MICAH WILSON
DIRECTOR
1625 RENAISSANCE COMMONS BLVD 114
BOYNTON BEACH FL 33426

Officer/Director/Trustee Three

ERIC LIGHT
DIRECTOR
301 YAMATO ROAD STE 1240
BOCA RATON FL 33431

Officer/Director/Trustee Four

WILLIAM MOFFATT
DIRECTOR
250 NE 3RD AVENUE 416
DELRAY BEACH FL 33444

Officer/Director/Trustee Five

DAVID DAESCHLER
DIRECTOR
421 E CENTRAL BLVD 1403
ORLANDO FL 32801

Organization’s website
Organization’s email JEN@1SYMPHONY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2020
Organization Incorporation State FL
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: No
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 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 JENNIFER WILSON
Signature Title DIRECTOR
Signature Date 5/3/2020

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