FORM 1023-EZ for THE PINK PALM PSYCHIATRIC CENTER FOR WELLNESS INC

Field Data
EIN 85-3068372
Case Number EO-2020295-000723
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PINK PALM PSYCHIATRIC CENTER FOR WELLNESS INC
Organization’s Mailing Address 7 PIERSON PLACE
City GLEN RIDGE
State NJ
ZIP 07028
Accounting period End 12
Primary contact name KIMBERLY SPEARMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALVIN SPEARMAN
TREASURER
7 PIERSON PLACE
GLEN RIDGE NJ 07028

Officer/Director/Trustee Two

SHIRLEY POPE
SECRETARY
7 PIERSON PLACE
GLEN RIDGE NJ 07028

Officer/Director/Trustee Three

JOYCE MIERZEJWSKI
PRESIDENT
20371 PASSAGIO DRIVE
VENICE FL 34293

Officer/Director/Trustee Four

KIMBERLY SPEARMAN
DIRECTOR
7 PIERSON PLACE
GLEN RIDGE NJ 07028

Organization’s website
Organization’s email KIMBERLY@PINKPALMPSYCHIATRIC.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOYCE MIERZEJWSKI
Signature Title PRESIDENT
Signature Date 10/14/2020

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