| Field | Data |
|---|---|
| EIN | 46-3513976 |
| Case Number | EO-2015159-000343 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MINDFUL MEDICINE |
| Organization’s Mailing Address | 1111 NE 99TH AVE SUITE 201 |
| City | PORTLAND |
| State | OR |
| ZIP | 97220-9442 |
| Accounting period End | 12 |
| Primary contact name | DAVID SCHROEDER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
ELIZABETH STEPHENS
PRESIDENT
5050 NE HOYT ST UNIT 540
PORTLAND OR 97213-2985
DAWN-STARR CROWTHER
TREASURER
7303 SW BEAVERTON-HILLSDALE HWY
PORTLAND OR 97225-2009
DAVID SCHROEDER
SECRETARY
1111 NE 99TH AVE SUITE 201
PORTLAND OR 97220-9442
DAN RUBIN
CHAIR OF EDUCATION
2304 E BURNSIDE ST
PORTLAND OR 97214-1689
JEFFREY HORACEK
CHAIR OF OUTREACH
5050 NE HOYT ST UNIT 540
PORTLAND OR 97213-2985
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/27/2013 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B28 - Specialized Education Institutions |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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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