FORM 1023-EZ for HEART-MIND INTERNATIONAL INC

Field Data
EIN 46-5343668
Case Number EO-2014265-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART-MIND INTERNATIONAL INC
Organization’s Mailing Address 430 RANDOLPH STREET NW
City WASHINGTON
State DC
ZIP 20011
Accounting period End 12
Primary contact name CHERYL JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRANDON KOHRT
DIRECTOR, PRESIDENT
430 RANDOLPH STREET NW
WASHINGTON DC 20011

Officer/Director/Trustee Two

ELIZABETH MACFARLANE
DIRECTOR, VP SECRETARY
2219 WEST CLUB BOULEVARD APT B
DURHAM NC 27705

Officer/Director/Trustee Three

ROBERT KOENIG
DIRECTOR, TREASURER
5208 CATALPHA ROAD
BALTIMORE MD 21214

Organization’s website
Organization’s email HEARTMINDINTERNATIONAL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2014
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 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 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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