FORM 1023-EZ for FOUNDATION FOR LIVING WELLNESS AND HEALTH

Field Data
EIN 82-1888163
Case Number EO-2017170-000399
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUNDATION FOR LIVING WELLNESS AND HEALTH
Organization’s Mailing Address 8 THE GREEN STE A
City DOVER
State FL
ZIP 19901-9739
Accounting period End 12
Primary contact name ELLIOT SLOANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELLIOT SLOANE
PRESIDENT
155 SEA ANCHOR DR
OSPREY FL 34229-9739

Officer/Director/Trustee Two

RICARDO SILVA
VICE PRESIDENT
5961 WESTGATE DR APT 2028
ORLANDO FL 32835-5018

Officer/Director/Trustee Three

AMY DRACHMAN
SECRETARY
3347 OLD OAK DR
SARASOTA FL 34239-5836

Officer/Director/Trustee Four

JOEL SLOANE
TREASURER
2154 BASSWOOD DR
LAFAYETTE HILL PA 19444-2328

Officer/Director/Trustee Five

JOLENA ONEILL-SLOANE
DIRECTOR
155 SEA ANCHOR DR
OSPREY FL 34229-9739

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2017
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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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