FORM 1023-EZ for MONARCH HEALTH SERVICES INC

Field Data
EIN 35-2640151
Case Number EO-2018280-000070
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONARCH HEALTH SERVICES INC
Organization’s Mailing Address 2580 METROCENTRE BLVD STE 1
City WEST PALM BEACH
State FL
ZIP 33407
Accounting period End 12
Primary contact name DAMION BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAMION BAKER
PRESIDENT/DIRECTOR
9935 PINEAPPLE TREE DR APT 102
BOYNTON BEACH FL 33436

Officer/Director/Trustee Two

CADIA COMRIE-BRISKIN
SECRETARY/DIRECTOR
5108 PINE RIDGE ROAD NORTH
EAST STROUDSBURG PA 18302

Officer/Director/Trustee Three

CHRISTINE LEE-MCLEAN
TREASURER/DIRECTOR
6281 NW 53RD STREET
CORAL SPRINGS FL 33067

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAMION BAKER
Signature Title PRESIDENT/DIRECTOR
Signature Date 10/3/18

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