FORM 1023-EZ for TELEOS HEALTH

Field Data
EIN 82-2648897
Case Number EO-2018019-000326
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TELEOS HEALTH
Organization’s Mailing Address 3667 HIGHLAND GREEN
City CINCINNATI
State OH
ZIP 45245-1739
Accounting period End 6
Primary contact name GAIL WEHRMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER ADAMS
TREASURER
1549 HUNT CLUB DR
MIFORD OH 45150

Officer/Director/Trustee Two

ARICK HAMMAR
SECRETARY
1572 HUNT CLUB DR
MILFORD OH 45150

Officer/Director/Trustee Three

BRYAN MOORE
BOARD MEMBER
6215 WHILEAWAY
LOVELAND OH 45140

Officer/Director/Trustee Four

JOYCE MOORE
BOARD MEMBER
6215 WHILEAWAY
LOVELAND OH 45140

Officer/Director/Trustee Five

GAIL WEHRMAN
CHAIRMAN
3667 HIGHLAND DRIVE
CINCINNATI OH 45245-1739

Organization’s website TELEOSHEALTH.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative 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 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 GAIL WEHRMAN
Signature Title CHAIRMAN
Signature Date 1/17/18

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