FORM 1023-EZ for WELLNESS FOR DIABETES INC

Field Data
EIN 84-2917602
Case Number EO-2021258-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLNESS FOR DIABETES INC
Organization’s Mailing Address 1280 HENLEY STREET APT 1606
City NAPLES
State FL
ZIP 34105
Accounting period End 12
Primary contact name THERESA CLARKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESA CLARKE
PRESIDENT
1280 HENLEY STREET APT 1606
NAPLES FL 34105

Officer/Director/Trustee Two

MICHELLE CLARKE-JONES
CO-VICE PRESIDENT
1280 HENLEY STREET APT 1606
NAPLES FL 34105

Officer/Director/Trustee Three

TIMMY CLARKE
CO-VICE PRESIDENT
1280 HENLEY STREET APT 1606
NAPLES FL 34105

Officer/Director/Trustee Four

LISA JACKSON
TREASURER
1280 HENLEY STREET APT 1606
NAPLES FL 34105

Officer/Director/Trustee Five

DAVID CLARKE-MINNIS
SECRETARY
1280 HENLEY STREET APT 1606
NAPLES FL 34105

Organization’s website
Organization’s email WELLNESSFORDIAETES07@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 7/30/2021
Organization Incorporation State FL
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption Yes
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 No
Signature Name THERESA CLARKE
Signature Title PRESIDENT
Signature Date 9/13/2021

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