FORM 1023-EZ for GOOD SMARITAN HEALTH WELLNESS CENTER INC

Field Data
EIN 45-3745315
Case Number EO-2016217-000167
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOOD SMARITAN HEALTH WELLNESS CENTER INC
Organization’s Mailing Address P O BOX 1242
City FULTON
State KY
ZIP 42041
Accounting period End 12
Primary contact name MILTON DEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDITH WOLFFORD
DIRECTOR
400 THIRD ST
FULTON KY 42041

Officer/Director/Trustee Two

DALE BATTS
DIRECTOR
313 THIRD ST
FULTON KY 42041

Officer/Director/Trustee Three

GIGI MILNER
DIRECTOR
8232 ST RT 307 S
FULTON KY 42041

Officer/Director/Trustee Four

PAT FRAIZER
DIRECTOR
509 WELLS AVE
FULTON KY 42041

Officer/Director/Trustee Five

LETHA BARNES
DIRECTOR
1720 BEECHWOOD ST
SOUTH FULTON TN 38257

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2011
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

Recently Saved Organizations

Click on the save icon from a search results or organization page.