FORM 1023-EZ for DR GABONE QHSC INC

Field Data
EIN 84-3543971
Case Number EO-2020013-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DR GABONE QHSC INC
Organization’s Mailing Address 6426 EMERALD DUNES DRIVE
City WEST PALM BEACH
State FL
ZIP 33411
Accounting period End 12
Primary contact name STEPHANIE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HARRIETH GABONE-MWALUPINDI
PRESIDENT
APT 308
WEST PALM BEACH MD 33411

Officer/Director/Trustee Two

GILBERT GABONE
VICE-PRESIDENT
29 COURTLAND STREET
NORWICH NY 13815

Officer/Director/Trustee Three

KISSAH MWAKALINGA
TREASURER
2 FLOWER HILL ROAD
POUGHKEEPSIE NY 12603

Officer/Director/Trustee Four

ANNIE SCHNEIDER
SECRETARY
4101 SPRING GROVE AVENUE 212
CINCINNATI OH 45223

Officer/Director/Trustee Five

STEPHANIE SMITH
DIRECTOR
8115 MAPLE LAWN BLVD SUITE 350
FULTON MD 20759

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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 STEPHANIE SMITH
Signature Title DIRECTOR
Signature Date 1/9/2020

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