FORM 1023-EZ for NEW MEXICO COMMUNITY WELLNESS

Field Data
EIN 84-3645977
Case Number EO-2020017-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW MEXICO COMMUNITY WELLNESS
Organization’s Mailing Address 4001 OFFICE COURT DR STE 102
City SANTA FE
State NM
ZIP 87507
Accounting period End 12
Primary contact name TOD DICECCO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOD DICECCO
PRESIDENT/FOUNDER
1834 CAMINO LA CANADA
SANTA FE NM 87501

Officer/Director/Trustee Two

MAIRE TORAL
DIRECTOR
1834 CAMINO LA CANADA
SANTA FE NM 87501

Officer/Director/Trustee Three

ALLISON HENDRICKS-SMITH
DIRECTOR
116 MARBLE AVE NW
ALBURQUERQUE NM 87102

Officer/Director/Trustee Four

SUZI GRUSCHKUS
DIRECTOR
413 KATHERYN PLACE
SANTA FE NM 87501

Officer/Director/Trustee Five

DARIN MARONI
DIRECTOR
132 HAYWOOD AVE
KNOXVILLE TN 37920

Organization’s website WWW.NMWELL.ORG
Organization’s email TLDICECCO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2019
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E31 - Group Health Practice (Health Maintenance Organizations)
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 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 TOD DICECCO
Signature Title PRESIDENT/FOUNDER
Signature Date 1/15/2020

Recently Saved Organizations

Click on the save icon from a search results or organization page.