FORM 1023-EZ for MIND AND MOTION FOR PARKINSONS

Field Data
EIN 83-1190330
Case Number EO-2018198-000141
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIND AND MOTION FOR PARKINSONS
Organization’s Mailing Address 9341 SW 94TH LOOP
City OCALA
State FL
ZIP 34481-4606
Accounting period End 6
Primary contact name PETER K WOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER WOOD
VICE PRESIDENT
9341 SW 94TH LOOP
OCALA FL 34481-4606

Officer/Director/Trustee Two

ROD BROKER
PRESIDENT
9319 SW 66TH LOOP
OCALA FL 34481-2506

Officer/Director/Trustee Three

MARY JANE CASABLANCA
DIRECTOR
8575 SW 90TH LANE D
OCALA FL 34481-4595

Officer/Director/Trustee Four

SANDRA WOLF
TREASURER
9749 SW 89TH LOOP
OCALA FL 34481

Officer/Director/Trustee Five

CAMMY DENNIS
DIRECTOR
8385 SW 80TH ST
OCALA FL 34481

Organization’s website MINDANDMOTION.ORG
Organization’s email PW444PAW@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G11 - Single Organization Support
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PETER WOOD
Signature Title VICE PRESIDENT
Signature Date 7/15/18

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