FORM 1023-EZ for PINK PETAL HEALTH AND WELLNESS

Field Data
EIN 82-5184699
Case Number EO-2018113-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINK PETAL HEALTH AND WELLNESS
Organization’s Mailing Address 7009 STIRLING ROAD APT 7201
City DAVIE
State FL
ZIP 33314
Accounting period End 12
Primary contact name RENEE WAUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENEE WAUGH
PRESIDENT
7009 STIRLING APT 7201
DAVIE FL 33314

Officer/Director/Trustee Two

MARY BARTLEY
VP
7009 STIRLING
DAVIE FL 33314

Officer/Director/Trustee Three

CLAUDETTE WAUGH
OFFICER
4210 SW 20TH STREET
FORT LAUDERDALE FL 33317

Officer/Director/Trustee Four

NEAL WAUGH
OFFICER
4210 SW 20TH STREET
FORT LAUDERDALE FL 33317

Officer/Director/Trustee Five

ALEXIA HUDSON
OFFICER
3059 N OAKLAND FOREST DR UNIT 104
OAKLAND PARK FL 33309

Organization’s website
Organization’s email RENEE.S.WAUGH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G90 - Medical Disciplines
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 RENEE WAUGH
Signature Title PRESIDENT
Signature Date 4/19/18

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