FORM 1023-EZ for WELLNESS OUTREACH INC

Field Data
EIN 83-4060331
Case Number EO-2019084-000635
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLNESS OUTREACH INC
Organization’s Mailing Address 10208 DEERCLIFF DR
City TAMPA
State FL
ZIP 33647-2940
Accounting period End 12
Primary contact name HEMAL PRASAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEMAL PRASAD
PRESIDENT
DEERCLIFF DR
TAMPA FL 33647-2940

Officer/Director/Trustee Two

SIMMI PRASAD
DIRECTOR
10208 DEERCLIFF DR
TAMPA FL 33647-2940

Officer/Director/Trustee Three

AMITABH PRASAD
DIRECTOR
10208 DEERCLIFF DR
TAMPA FL 33647-2940

Officer/Director/Trustee Four

SAANVI PRASAD
DIRECTOR
10208 DEERCLIFF DR
TAMPA FL 33647-2940

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HEMAL PRASAD
Signature Title PRESIDENT
Signature Date 3/22/19

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