FORM 1023-EZ for USA HEALTH WELLNESS GROUP INC

Field Data
EIN 85-2127379
Case Number EO-2020252-000476
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name USA HEALTH WELLNESS GROUP INC
Organization’s Mailing Address 225 OCEAN AVE
City JERSEY CITY
State NJ
ZIP 07305
Accounting period End 12
Primary contact name TARENCE BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARENCE BROWN
PRESIDENT/DIRECTOR
10 CONSTITUTION WAY
JERSEY CITY NJ 07305

Officer/Director/Trustee Two

BRIA SCOTT
SECRETARY
137-25 BELKNAP STREET
SPRINGFIELD GARDENS NY 11413

Officer/Director/Trustee Three

TERRENCE MCADDLEY
TREASURER
98-17 HORACE HARDING
EXPRESSWAY CORONA NY 11368

Organization’s website WWW.USAWELLNESSGROUP.COM
Organization’s email MRTARENCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2020
Organization Incorporation State NJ
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 Yes
Donation of funds Yes
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 TARENCE BROWN
Signature Title PRESIDENT/DIRECTOR
Signature Date 9/4/2020

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