FORM 1023-EZ for CONSCIOUS HEALING SERVICES INC

Field Data
EIN 83-3095313
Case Number EO-2019036-000438
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONSCIOUS HEALING SERVICES INC
Organization’s Mailing Address 21301 S TAMIAMI TRAIL 320 130
City ESTERO
State FL
ZIP 33928
Accounting period End 12
Primary contact name GEVA LEDEZMA SALERNO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEVA LEDEZMA-SALERNO
CO PRESIDENT & DIRECTOR
21301 S TAMIAMI TRAIL 320 130
ESTERO FL 33928

Officer/Director/Trustee Two

MARY ELLEN SABA
CO PRESIDENT & DIRECTOR
2035 SE 29TH ST
CAPE CORAL FL 33904

Officer/Director/Trustee Three

JONATHAN DEAN
DIRECTOR
1667 SABAL SANDS RD
SANIBEL FL 33957

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GEVA LEDEZMA-SALERNO
Signature Title CO PRESIDENT & DIRECTOR
Signature Date 1/17/19

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