FORM 1023-EZ for POSITIVE MINDSET FOUNDATION

Field Data
EIN 86-2276413
Case Number EO-2021100-000892
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POSITIVE MINDSET FOUNDATION
Organization’s Mailing Address 3069 COLETTE CT
City SIMI VALLEY
State CA
ZIP 93063
Accounting period End 12
Primary contact name CAMERON MARKOWITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMERON MARKOWITZ
CEO
3069 COLETTE CT
SIMI VALLEY CA 93063

Officer/Director/Trustee Two

STEPHAN OSORIO
COO
3069 COLETTE CT
SIMI VALLEY CA 93063

Officer/Director/Trustee Three

ARICA ROSENTHAL
CFO
3069 COLETTE CT
SIMI VALLEY CA 93063

Officer/Director/Trustee Four

DEREK ABBEY
OFFICER (OTHER)
3069 COLETTE CT
SIMI VALLEY CA 93063

Officer/Director/Trustee Five

FRANK BENAVIDEZ
OFFICER (OTHER)
3069 COLETTE CT
SIMI VALLEY CA 93063

Organization’s website POSITIVEMINDSETFOUNDATION.ORG
Organization’s email CAMERON@POISITVEMINDSETFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 CAMERON MARKOWITZ
Signature Title CEO
Signature Date 3/27/2021

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