FORM 1023-EZ for WELLNESS FOR WOMEN INC

Field Data
EIN 82-2678282
Case Number EO-2017254-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WELLNESS FOR WOMEN INC
Organization’s Mailing Address 15 SW 1ST AVE
City GAINESVILLE
State FL
ZIP 32601-6239
Accounting period End 12
Primary contact name ELENA BORNEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELENA BORNEMAN
PRESIDENT
3748 NW 56TH LANE
GAINESVILLE FL 32653-0827

Officer/Director/Trustee Two

KAROL BLACK
SECRETARY
41 RICKARD COURT
LAWRENCEVILLE NJ 08648-2670

Officer/Director/Trustee Three

SHERRI KING
TREASURER
503 COLISEUM STREET APT 20206
ORLANDO FL 32828-5279

Officer/Director/Trustee Four

ERINESHA HAMILTON
BOARD MEMBER
15 SW 1ST AVE
GAINESVILLE FL 32601-6239

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2017
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: 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 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 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
Signature Title
Signature Date

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