FORM 1023-EZ for SYNERGY HEALTH MEDICAL PAVILION INC

Field Data
EIN 87-2394533
Case Number EO-2021244-000417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SYNERGY HEALTH MEDICAL PAVILION INC
Organization’s Mailing Address 1206 QUARRIER ST
City CHARLESTON
State WV
ZIP 25301
Accounting period End 12
Primary contact name MICHELLE STEELE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES ABSTON
PRESIDENT
1206 QUARRIER ST
CHARLESTON WV 25301

Officer/Director/Trustee Two

MICHELLE STEELE
VICE PRESIDENT
1206 QUARRIER ST
CHARLESTON WV 25301

Organization’s website
Organization’s email JACKSONDAVIS.SYNERGYHEALTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2021
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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 MICHELLE STEELE
Signature Title VICE PRESIDENT
Signature Date 8/30/2021

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