FORM 1023-EZ for PEGASUS COMMUNITY HEALTH SERVICES INC

Field Data
EIN 85-4152197
Case Number EO-2021097-000054
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEGASUS COMMUNITY HEALTH SERVICES INC
Organization’s Mailing Address 2633 E COMMERCIAL BLVD STE E
City FORT LAUDERDALE
State FL
ZIP 33308
Accounting period End 12
Primary contact name JOSEPH TOWNSEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH TOWNSEL
PRESIDENT, DIRECTOR
2633 E COMMERCIAL BLVD STE E
FORT LAUDERDALE FL 33308

Officer/Director/Trustee Two

EMMA TOWNSEL
SECRETARY, DIRECTOR
2633 E COMMERCIAL BLVD STE E
FORT LAUDERDALE FL 33308

Officer/Director/Trustee Three

DYNASTIE HOOPER
TREASURER, DIRECTOR
2633 E COMMERCIAL BLVD STE E
FORT LAUDERDALE FL 33308

Officer/Director/Trustee Four

ERIKA BROWN
DIRECTOR
2633 E COMMERCIAL BLVD STE E
FORT LAUDERDALE FL 33308

Officer/Director/Trustee Five

MARK TAYLOR
DIRECTOR
2633 E COMMERCIAL BLVD STE E
FORT LAUDERDALE FL 33308

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Donation of funds Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSEPH TOWNSEL
Signature Title PRESIDENT, DIRECTOR
Signature Date 3/12/2021

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