FORM 1023-EZ for WELLNESS INSTITUTE FOR PUBLIC SAFETY INC

Field Data
EIN 83-0688412
Case Number EO-2018171-000498
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLNESS INSTITUTE FOR PUBLIC SAFETY INC
Organization’s Mailing Address 2905 160TH STREET / ATTN J BALDEA
City FLUSHING
State NY
ZIP 11358
Accounting period End 12
Primary contact name JIMMY BALDEA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIMMY BALDEA
FOUNDER, PRESIDENT, CEO
2905 160TH STREET
FLUSHING NY 11358

Officer/Director/Trustee Two

HOWARD RUSK JR
DIRECTOR
3 GLEN HILL ROAD / APARTMENT 302
DANBURY CT 6811

Officer/Director/Trustee Three

JOSEPH ERAZO
TRUSTEE
104 KNOLLWOOD AVENUE
DOUGLASTON NY 11363

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H05 - Research Institutes and/or Public Policy Analysis
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JIMMY BALDEA
Signature Title FOUNDER, PRESIDENT, CEO
Signature Date 6/6/18

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