FORM 1023-EZ for WELLNESS SERVICES OF FLORIDA CORP

Field Data
EIN 86-3605766
Case Number EO-2021190-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLNESS SERVICES OF FLORIDA CORP
Organization’s Mailing Address 14940 PIERCE ST
City MIAMI
State FL
ZIP 33145
Accounting period End 12
Primary contact name ALEXEI DIAZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXEI DIAZ
PRESIDENT
14940 PIERCE ST
MIAMI FL 33145

Officer/Director/Trustee Two

ADA HERNANDEZ
VP
14940 PIERCE ST
MIAMI FL 33145

Officer/Director/Trustee Three

CLAUDIA ROYERO
TR
14940 PIERCE ST
MIAMI FL 33145

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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 ALEXEI DIAZ
Signature Title PRESIDENT
Signature Date 7/8/2021

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