FORM 1023-EZ for COMMUNITY WELLNESS CENTER

Field Data
EIN 47-2621579
Case Number EO-2014365-000018
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY WELLNESS CENTER
Organization’s Mailing Address 4008 SAPLING WAY
City TRIANGLE
State VA
ZIP 22172
Accounting period End 12
Primary contact name LORNA BENOIT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LORNA BENOIT
PRESIDENT
4008 SAPLING WAY
TRIANGLE VA 22172

Officer/Director/Trustee Two

ANGELA BUFORD
VICE PRESIDENT
4012 SAPLING WAY
TRIANGLE VA 22172

Officer/Director/Trustee Three

HANS MARCELIN
TREASURE
4008 SAPLING WAY
TRIANGLE VA 22172

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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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