FORM 1023-EZ for FAMILY WELLNESS SERVICES INC

Field Data
EIN 83-2431103
Case Number EO-2018312-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY WELLNESS SERVICES INC
Organization’s Mailing Address 7860 PETERS ROAD SUITE F107
City PLANTATION
State FL
ZIP 33324
Accounting period End 12
Primary contact name JAMESON M MERCIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMESON M MERCIER
PRESIDENT
7860 PETERS ROAD SUITE F107
PLANTATION FL 33324

Officer/Director/Trustee Two

ROSE MERCIER
SECERTARY
7860 PETERS ROAD SUITE F107
PLANTATION FL 33324

Officer/Director/Trustee Three

HERDYNE MERCIER
TREASURER
7860 PETERS ROAD SUITE F107
PLANTATION FL 33324

Organization’s website
Organization’s email MERCIER.JAMESON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JAMESON M MERCIER
Signature Title PRESIDENT
Signature Date 11/5/18

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