FORM 1023-EZ for HARMONY MIND BODY AND SPIRIT WELLNESS CORPORATION

Field Data
EIN 84-2502090
Case Number EO-2020262-000267
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARMONY MIND BODY AND SPIRIT WELLNESS CORPORATION
Organization’s Mailing Address 1477 CLASSIC OAK RD EAST
City JACKSONVILLE
State FL
ZIP 32225
Accounting period End 12
Primary contact name BRIAN JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN JONES
CHEIF EXECUTIVE DIRECTOR
1477 CLASSIC OAK RD EAST
JACKSONVILLE FL 32225

Officer/Director/Trustee Two

MYANDA RATCLIFF
TREASURER
10137 COLDWATER LOOP DR
LAND O LAKES FL 34638

Officer/Director/Trustee Three

FARAH JONES
VICE PRESIDENT- OPERATIONS DIRECTO
1477 CLASSIC OAK RD EAST
JACKSONVILLE FL 32225

Officer/Director/Trustee Four

KIERSTEN RUSSOW
SECRETARY
3746 RODERO RD
JACKSONVILLE FL 32277

Officer/Director/Trustee Five

CHRIS STATON
CHAIRMAN
3746 RODERO RD
JACKSONVILLE FL 32277

Organization’s website WWW.HARMONYMBSWELLNESS.OR
Organization’s email HARMONYMBSWELLNESS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2019
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: 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 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 BRIAN JONES
Signature Title CHEIF EXECUTIVE DIRECTOR
Signature Date 9/16/2020

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