FORM 1023-EZ for THE WELLNESS GROUP FOUNDATION

Field Data
EIN 81-3262073
Case Number EO-2016202-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE WELLNESS GROUP FOUNDATION
Organization’s Mailing Address 808 LAY DAM ROAD
City Clanton
State AL
ZIP 35045-2008
Accounting period End 12
Primary contact name JEREMY MICHAEL SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY SMITH
PRESIDENT
311 DEBRA AVENUE
CLANTON AL 35045-2943

Officer/Director/Trustee Two

JARED HOOD
VICE-PRESIDENT
808 LAY DAM ROAD
CLANTON AL 35045-2943

Officer/Director/Trustee Three

DAWN SMITH
SECRETARY
311 DEBRA AVENUE
CLANTON AL 35045-2943

Officer/Director/Trustee Four

ANNA GATLIN
TREASURER
808 LAY DAM ROAD
CLANTON AL 35045-2943

Officer/Director/Trustee Five

SHANNON WELCH
DIRECTOR
808 LAY DAM ROAD
CLANTON AL 35045-2943

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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