FORM 1023-EZ for NO MIRROR MOVEMENT

Field Data
EIN 81-3876067
Case Number EO-2016270-000126
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NO MIRROR MOVEMENT
Organization’s Mailing Address 630 MASON STREET M-4
City SAN FRANCISCO
State CA
ZIP 94108
Accounting period End 12
Primary contact name SAMANTHA ETHRIDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA ETHRIDGE
DIRECTOR AND PRESIDENT
630 MASON STREET M-4
SAN FRANCISCO CA 94108

Officer/Director/Trustee Two

CELINA CULVER
DIRECTOR AND SECRETARY
260 FALLON STREET
OAKLAND CA 94607

Officer/Director/Trustee Three

CORY ETHRIDGE
TREASURER
380 SAW MILL RIVER ROAD
MILLWOOD NV 10546

Officer/Director/Trustee Four

KRISTIN GAFFAGNINO
DIRECTOR
3421 ORINDA STREET
PALO ALTO CA 94306

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 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 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
Signature Title
Signature Date

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