FORM 1023-EZ for CAMPBELL HEALTH SOLUTIONS INC

Field Data
EIN 86-1982263
Case Number EO-2021172-000614
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMPBELL HEALTH SOLUTIONS INC
Organization’s Mailing Address 1817 MIDDLETON WAY
City WEST PALM BEACH
State FL
ZIP 33409
Accounting period End 12
Primary contact name SHANDRA STRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARDO JACKSON
PRESIDENT
1817 MIDDLETON WAY
WEST PALM BEACH FL 33409

Officer/Director/Trustee Two

MATTHEW GRAHAM JACKSONQ
VICE PRESIDENT
1817 MIDDLETON WAY
WEST PALM BEACH FL 33409

Officer/Director/Trustee Three

RICHARD JAMES
TREASURER
85-31 120TH STREET APT LB
KEW GARDENS NY 11415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2021
Organization Incorporation State FL
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 RICHARDO JACKSON
Signature Title PRESIDENT
Signature Date 6/18/2021

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