FORM 1023-EZ for BEE WELL SERVE WELL INC

Field Data
EIN 85-1963231
Case Number EO-2020211-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEE WELL SERVE WELL INC
Organization’s Mailing Address 50 NORTH MILL ROAD NW
City ATLANTA
State GA
ZIP 30328
Accounting period End 12
Primary contact name WENDY BELKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE MARTIN
BOARD MEMBER
315 HASCAL ROAD
ATLANTA GA 30309

Officer/Director/Trustee Two

ANDY OTTO
BOARD MEMBER
1553 BRIANWOOD ROAD
DECATUR GA 30033

Officer/Director/Trustee Three

LINDSEY PARIS
BOARD MEMBER
1240 NICHOLSON ROAD
KENNESAW GA 30152

Officer/Director/Trustee Four

DEVITA PARNELL
BOARD MEMBER
886 RYAN LANE
LILBURN GA 30047

Officer/Director/Trustee Five

DR SUSAN RUSSELL
BOARD MEMBER
4343 SHALLOWFORD ROAD H-5
MARIETTA GA 30062

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 MICHELLE MARTIN
Signature Title BOARD MEMBER
Signature Date 7/27/2020

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