FORM 1023-EZ for COMPLETE WELLNESS COMMUNITY SERVICES INC

Field Data
EIN 85-1423154
Case Number EO-2020311-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMPLETE WELLNESS COMMUNITY SERVICES INC
Organization’s Mailing Address 537 W SUGARCREEK ROAD SUITE 102
City CHARLOTTE
State NC
ZIP 28213
Accounting period End 12
Primary contact name CANDICE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CANDICE JOHNSON
PRESIDENT
173 FAIRMONT CIRCLE
KANNAPOLIS NC 28083

Officer/Director/Trustee Two

TRACIE SHANNON
TREASURER
1641 A NORTH FAYETTEVILLE ST
ASHEBORO NC 27203

Officer/Director/Trustee Three

MONIQUE CARMOUCHE
CHAIRPERSON
47 HAWTHORNE ST SW
CONCORD NC 28027

Officer/Director/Trustee Four

JALEN PARKER
DIRECTOR
537 W SUGAR CREEK ROAD SUITE 102
CHARLOTTE NC 28213

Officer/Director/Trustee Five

JHAMIL PARKER
DIRECTOR
537 W SUGAR CREEK ROAD SUITE 102
CHARLOTTE NC 28213

Organization’s website completewellnesscommunity
Organization’s email info@completewellnesscommunityservices.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CANDICE JOHNSON
Signature Title PRESIDENT
Signature Date 11/4/2020

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