FORM 1023-EZ for PERCEPTIONS YOGA MINDFULNESS AND ART INC

Field Data
EIN 83-0887639
Case Number EO-2018169-000505
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERCEPTIONS YOGA MINDFULNESS AND ART INC
Organization’s Mailing Address 5675 N COUNTY ROAD 200 W
City NORTH VERNON
State IN
ZIP 47265
Accounting period End 12
Primary contact name CHARLINDA EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLINDA EVANS
PRESIDENT
5675 N CR 200 W
NORTH VERNON IN 47265-6654

Officer/Director/Trustee Two

KAREN CHILMAN
VICE PRESIDENT
5240 W COUNTY ROAD 600 S
COMMISKEY IN 47227-9654

Officer/Director/Trustee Three

KAREN JACKSON
SECRETARY-TREASURER
5675 N CR 200 W
NORTH VERNON IN 47265-6654

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 CHARLINDA EVANS
Signature Title PRESIDENT
Signature Date 6/13/18

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