FORM 1023-EZ for THE REBEL MIND PROJECT

Field Data
EIN 81-5324277
Case Number EO-2018029-000575
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE REBEL MIND PROJECT
Organization’s Mailing Address 15740 N 83RD AVE APT 2052
City PEORIA
State AZ
ZIP 85382
Accounting period End 12
Primary contact name JESSICA HERMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA HERMANN
CEO/FOUNDER
15740 N 83RD AVE APT 2052
PEORIA AZ 85382

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/17
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 JESSICA HERMANN
Signature Title CEO/FOUNDER
Signature Date 1/27/18

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