FORM 1023-EZ for SCMC WALK TO WELLNESS CORP

Field Data
EIN 85-1265944
Case Number EO-2020239-000143
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCMC WALK TO WELLNESS CORP
Organization’s Mailing Address 3579 HIGHWAY 138 SE SUITE 103
City STOCKBRIDGE
State GA
ZIP 30281
Accounting period End 12
Primary contact name SHANTEL BRYANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANTEL BRYANT
PRESIDENT
3759 HIGHWAY 138 SE SUITE 103
STOCKBRIDGE GA 30281

Officer/Director/Trustee Two

TANIKA BRYANT
VICE PRESIDENT
84 CLIFFVIEW DR3
GARNER NC 27529

Officer/Director/Trustee Three

RACQUEL JACKSON
SECRETARY
6109 LANCE LANE
RIVERDALE GA 30274

Officer/Director/Trustee Four

TERENA BARNETT
TREASURER
603 TRANQUILLA DRIVE
SAVANNAH GA 31419

Organization’s website
Organization’s email INFO@WALKTOWELLNESS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 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 SHANTEL BRYANT
Signature Title PRESIDENT
Signature Date 8/24/2020

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