FORM 1023-EZ for EMERGENT WELLNESS CARE INC

Field Data
EIN 85-1258218
Case Number EO-2020156-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMERGENT WELLNESS CARE INC
Organization’s Mailing Address 2924 NW 48TH STREET
City TAMARAC
State FL
ZIP 33309
Accounting period End 12
Primary contact name MARY FOLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY FOLEY
PRESIDENT
2429 NW 48TH STREET
TAMARAC FL 33309

Officer/Director/Trustee Two

GARY MAYONE
VICE PRESIDENT
2924 NW 48TH STREET
TAMARAC FL 33309

Officer/Director/Trustee Three

JERRY MAYONE - SR
TREASURER
2808 NW 48TH STREET
TAMARAC FL 33309

Officer/Director/Trustee Four

VAN JONES
SECRETARY
1225 E RIVER DRIVE
MARGATE FL 33063

Officer/Director/Trustee Five

INEZ EDWARDS
DIRECTOR
1091 NW 84TH AVENUE
PLANTATION FL 33322

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 MARY FOLEY
Signature Title PRESIDENT
Signature Date 6/2/2020

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