FORM 1023-EZ for HEALTHY WOMAN WOMENS CLINICS OF FLORIDA INC

Field Data
EIN 82-1270885
Case Number EO-2017158-000139
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHY WOMAN WOMENS CLINICS OF FLORIDA INC
Organization’s Mailing Address PO BOX 5826
City TALLAHASSEE
State FL
ZIP 32314
Accounting period End 6
Primary contact name MICHAEL PEARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN MANGAN
PRESIDENT
9836 DULCE MARIA DRIVE
TALLAHASSEE FL 32317

Officer/Director/Trustee Two

MICHAEL PEARSON
TREASURER
3124 BRIARWOOD DRIVE
TALLAHASSEE FL 32308

Officer/Director/Trustee Three

CHRISTINE MOLESKI
SECRETARY
19600-A BUFORD BLVD
TALLAHASSEE FL 32308

Officer/Director/Trustee Four

JACQUELINE LLOYD
DIRECTOR
14221 BUCKHORN ROAD
TALLAHASSEE FL 32312

Organization’s website
Organization’s email HEALTHYWOMANFL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E40 - Reproductive Health Care Facilities and Allied Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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