FORM 1023-EZ for SPEKTRUM HEALTH

Field Data
EIN 83-2342838
Case Number EO-2018306-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPEKTRUM HEALTH
Organization’s Mailing Address 5217 DRISCOLL CT
City BELLE ISLE
State FL
ZIP 32812
Accounting period End 6
Primary contact name JOSEPH KNOLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH KNOLL
PRESIDENT
5217 DRISCOLL CT
BELLE ISLE FL 32812

Officer/Director/Trustee Two

MICHAEL HUBSCHMITT
VICE PRESIDENT
729 BRAIDWOOD LANE
ORLANDO FL 32803

Officer/Director/Trustee Three

SARAH KRATTINGER
SECRETARY
10427 WILLOW RIDGE LOOP
ORLANDO FL 32825

Officer/Director/Trustee Four

MARITZA RIOS
BOARD MEMBER
3700 CLEMWOOD STREET
ORLANDO FL 32803

Officer/Director/Trustee Five

JAMIE GUNNING
BOARD MEMBER
708 28TH ST
ORLANDO FL 32805

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSEPH KNOLL
Signature Title PRESIDENT
Signature Date 10/31/18

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