FORM 1023-EZ for OASIS HEALTH AND WELLNESS CENTER INC

Field Data
EIN 47-3092349
Case Number EO-2015189-000041
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OASIS HEALTH AND WELLNESS CENTER INC
Organization’s Mailing Address 5438 TROUBLE CREEK RD
City NEW PORT RICHEY
State FL
ZIP 36542
Accounting period End 12
Primary contact name JOSEPHINE ADELUFOSI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPHINE ADELUFOSI
PRESIDENT
3636 PEPPERVINE PL
WESLEY CHAPEL FL 33544

Officer/Director/Trustee Two

JULIUS BEN ACQUAAH
VICE PRESIDENT
8802 ROCKY CREEK RD
TAMPA FL 34472

Officer/Director/Trustee Three

SOMA SURUJLALL
TREASURER
475 WATER RUN
OCALA FL 34472

Officer/Director/Trustee Four

JAWAN AYER-COLE
MEDICAL DIRECTOR
800 W DR MARTIN LUTHER KING JR BLVD
TAMPA FL 33603

Officer/Director/Trustee Five

JACQUELINE JOSEPH
SECRETARY
206 W 109TH AV
TAMPA FL 33612

Organization’s website WWW.OASISHEALTHANDWELLNESSCENTER.ORG
Organization’s email INFO@OASISHEALTHANDWELLNESSCENTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2015
Organization Incorporation State FL
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: 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 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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