FORM 1023-EZ for TAMPA BAY WELLNESS INITIATIVE INC
| Field | Data |
|---|---|
| EIN | 84-4220149 |
| Case Number | EO-2020141-000172 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TAMPA BAY WELLNESS INITIATIVE INC |
| Organization’s Mailing Address | 13787 BELCHER RD S SUITE 340 |
| City | LARGO |
| State | FL |
| ZIP | 33771 |
| Accounting period End | 12 |
| Primary contact name | JOHN DAVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOEL MONTGOMERY
PRESIDENT
5332 NW 4TH PLACE
GAINESVILLE FL 32607
Officer/Director/Trustee Two
BOBBY NORVELL
TREASURER
1400 CROYDON DR
CLEARWATER FL 33756
Officer/Director/Trustee Three
LOU KANE
SECRETARY
1027 LONG BRANCH LANE
OVIEDO FL 32765
Officer/Director/Trustee Four
JOHN DAVIS
DIRECTOR
13787 BELCHER RD S SUITE 340
LARGO FL 33771
Officer/Director/Trustee Five
AMBER LANDRY
COMPLIANCE OFFICER
135 VADA DR
MARIETTA GA 30068
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/29/2020 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| Organization’s purpose | Charitable: No 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 | 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 | JOHN DAVIS |
| Signature Title | DIRECTOR |
| Signature Date | 5/18/2020 |
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