FORM 1023-EZ for PENNSYLVANIA CARE HEALTH AND WELLNESS

Field Data
EIN 82-2790971
Case Number EO-2017275-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PENNSYLVANIA CARE HEALTH AND WELLNESS
Organization’s Mailing Address 500 YORK ROAD B1
City JENKINTOWN
State PA
ZIP 19046
Accounting period End 6
Primary contact name TOMIKA MCFADDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOMIKA MCFADDEN
PRESIDENT
133 CEDAR STREET
JENKINTOWN PA 19046

Officer/Director/Trustee Two

ARLENE BOKIE
SECRETARY
4270 VIOLA STREET
PHILADELPHIA PA 19104

Officer/Director/Trustee Three

FELICIA HARRIS
TREASURER
6147 OLD YORK ROAD
PHILADELPHIA PA 19141

Organization’s website
Organization’s email TOMIKAMCFADDEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2017
Organization Incorporation State PA
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 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
Signature Title
Signature Date

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