FORM 1023-EZ for BAY CITY WELLNESS CENTER

Field Data
EIN 84-2530255
Case Number EO-2019210-000513
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BAY CITY WELLNESS CENTER
Organization’s Mailing Address 270 STATE ROAD 65
City EASTPOINT
State FL
ZIP 32328
Accounting period End 9
Primary contact name KEITH DEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AJ SMITH
PRESIDENT
270 STATE ROAD
EASTPOINT FL 32328

Officer/Director/Trustee Two

KEITH DEAN
TREASURER
26 STARVIEW TERRACE
SANTA ROSA BEACH FL 32459

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I19 - Nonmonetary Support N.E.C.
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 KEITH DEAN
Signature Title TREASURER
Signature Date 7/26/19

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