FORM 1023-EZ for WELL COMMUNITY THERAPY INC

Field Data
EIN 83-4435698
Case Number EO-2019154-000343
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WELL COMMUNITY THERAPY INC
Organization’s Mailing Address 3810 HADLEY LANE
City MANSFIELD
State TX
ZIP 76084
Accounting period End 5
Primary contact name BETHANY SPAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETHANY SPAIN
FOUNDER
9730 CARSON RANCH RD
CROWLEY TX 76036

Officer/Director/Trustee Two

BRANDON SPAIN
DIRECTOR
8730 CARSON RANCH RD
CROWLEY TX 76036

Officer/Director/Trustee Three

LINDSEY SYNDER
DIRECTOR
3655 PRAIRIE WATERS APT 4318
GRAND PRAIRIE TX 75052

Officer/Director/Trustee Four

CHERIE BERUBE
DIRECTOR
350 N STATE HWY 360 APT 9205
MANSFIELD TX 76063

Officer/Director/Trustee Five

WILLIAM TYLER
DIRECTOR
2704 PYRAMID LN
MANSFIELD TX 76063

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 BETHANY SPAIN
Signature Title FOUNDER
Signature Date 5/30/19

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