FORM 1023-EZ for PERFORMANCE WELLNESS INC

Field Data
EIN 13-4143765
Case Number EO-2019357-000450
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERFORMANCE WELLNESS INC
Organization’s Mailing Address 18 SUNSET DRIVE
City NORTH CALDWELL
State NJ
ZIP 07006-4750
Accounting period End 7
Primary contact name MICHAEL A LAHUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL LAHUE
CONTENT & MARKETING DIRECTOR
18 SUNSET DRIVE
NORTH CALDWELL NJ 07006-4750

Officer/Director/Trustee Two

ELIZABETH TAUB
PRESIDENT
280 9TH AVENUE 18J
NEW YORK NY 10001-5721

Officer/Director/Trustee Three

CAROL DALY
VICE PRESIDENT
8310 35TH AVENUE AP6P
JACKSON HEIGHTS NY 11372-5317

Officer/Director/Trustee Four

NICOLLE GUERRA
SECRETARY/TREASURER
8040 TATUM WATERWAY DRIVE AP20
MIAMI BEACH FL 33141-5308

Organization’s website PERFORMANCEWELLNESSINC.ORG
Organization’s email ADMIN@PERFORMANCEWELLNESSINC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2002
Organization Incorporation State NY
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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 Yes
Correctness Declaration Yes
Signature Name MICHAEL LAHUE
Signature Title CONTENT & MARKETING DIRECTOR
Signature Date 12/20/2019

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