FORM 1023-EZ for WELLNESS WITH BELLA

Field Data
EIN 84-5076837
Case Number EO-2020076-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELLNESS WITH BELLA
Organization’s Mailing Address 8228 S MOZART ST
City CHICAGO
State IL
ZIP 60652
Accounting period End 12
Primary contact name LATRICE MCARTHUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KORRYENE LEWIS
EXECUTIVE DIRECTOR
8207 S OGLESBY AVE
CHICAGO IL 60617

Officer/Director/Trustee Two

DONNIE MOORE
TREASURER
2007 MONITOR DRIVE
STAFFORD VA 22554

Officer/Director/Trustee Three

LATRICE MCARTHUR
SECRETARY
8228 S MOZART ST
CHICAGO IL 60652

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
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 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 KORRYENE LEWIS
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/12/2020

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