FORM 1023-EZ for THE MENTALPHYSICAL WELLNESS CENTRE INC

Field Data
EIN 81-4491918
Case Number EO-2017142-000391
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MENTALPHYSICAL WELLNESS CENTRE INC
Organization’s Mailing Address 11348 KAYLA DR
City HAMPTON
State GA
ZIP 30228
Accounting period End 6
Primary contact name NATONYA SPEAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATONYA SPEAR
PRESIDENT
11348 KAYLA DR
HAMPTON GA 30228

Officer/Director/Trustee Two

BRANDI JOUETT PATRICKSON
VICE PRESIDENT
5335 BLUESTONE CIRCLE
MABLETON GA 30126

Officer/Director/Trustee Three

REGINA MORGAN SPIKES
SECRETARY
2128 DARTMOUTH CT
MCDONOUGH GA 30253

Organization’s website
Organization’s email FIGHTCLUBLLC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/2016
Organization Incorporation State GA
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: No
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 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
Signature Title
Signature Date

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