FORM 1023-EZ for SAINT GEMMA HEALTH AND WELLNESS CENTER INC

Field Data
EIN 83-3625917
Case Number EO-2019192-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAINT GEMMA HEALTH AND WELLNESS CENTER INC
Organization’s Mailing Address 100 BELLEVUE AVENUE
City HAVERHILL
State MA
ZIP 1832
Accounting period End 12
Primary contact name MARY FALLAVOLLITA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY FALLAVOLLITA
PRESIDENT
14 PARSONS ROAD
WEST NEWBURY MA 1985

Officer/Director/Trustee Two

FRANK OBERTI
DIRECTOR
143 SOUTH MAIN STREET
BRADFORD MA 1835

Officer/Director/Trustee Three

LAURA ALEXANDROU
TREASURER
27 MATTHIAS STREET
SALEM NH 3079

Officer/Director/Trustee Four

ANDREA PERREAULT
CLERK
30 WEBSTER STREET
HAVERHILL MA 1830

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 Yes
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 MARY FALLAVOLLITA
Signature Title PRESIDENT
Signature Date 7/9/19

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