FORM 1023-EZ for MINDFUL ARTS

Field Data
EIN 87-1569403
Case Number EO-2021221-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINDFUL ARTS
Organization’s Mailing Address 11915 LARRYLYN DR
City WHITTIER
State CA
ZIP 90604
Accounting period End 12
Primary contact name GINA VELEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINA VELEZ
PRESIDENT AND DIRECTOR
11915 LARRYLYN DR
WHITTIER CA 90604

Officer/Director/Trustee Two

JACLYN STICKEL
TREASURER AND DIRECTOR
2080 STORY AVE
LA HABRA CA 90631

Officer/Director/Trustee Three

GREG HAAKE
SECRETARY AND DIRECTOR
3806 SAN MIGUEL DR
FULLERTON CA 92835

Organization’s website WWW.MINDFULARTS.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
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 GINA VELEZ
Signature Title PRESIDENT AND DIRECTOR
Signature Date 8/5/2021

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