FORM 1023-EZ for A NEW DAY WELLNESS CENTER INC

Field Data
EIN 82-5130266
Case Number EO-2018320-000055
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A NEW DAY WELLNESS CENTER INC
Organization’s Mailing Address 181 NEIL ST
City SARANAC LAKE
State NY
ZIP 12983
Accounting period End 5
Primary contact name JULIA RUSHFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIA RUSHFORD
DIRECTOR
181 NEIL ST
SARANAC LAKE NY 12983

Officer/Director/Trustee Two

KELLY SAMOLIS
DIRECTOR
240 GENE LAFAVE RD
SARANAC NY 12918

Officer/Director/Trustee Three

SHAYNA LATOUR
DIRECTOR
74 SAILLY AVE
PLATTSBURGH NY 12901

Officer/Director/Trustee Four

VICTOR SAMOLIS
DIRECTOR
240 GENE LAFAVE RD
SARANAC NY 12918

Organization’s website WWW.ANEWDAYWELLNESS.ORG
Organization’s email ANEWDAYWELLNESSINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 JULIA RUSHFORD
Signature Title DIRECTOR
Signature Date 11/14/18

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