FORM 1023-EZ for EVERGREEN MINDS INC

Field Data
EIN 85-0748178
Case Number EO-2020150-000025
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EVERGREEN MINDS INC
Organization’s Mailing Address 238 OSBORNE HILL RD
City FISHKILL
State NY
ZIP 12524-2518
Accounting period End 12
Primary contact name MICHELLE OLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIN PARTRIDGE
PRESIDENT
1801 HUNSAKER CANYON RD
LAFAYETTE CA 94549-5765

Officer/Director/Trustee Two

DAN KOLTZ
DIRECTOR
3771 LADUKE ST
BOZEMAN MT 59718-6125

Officer/Director/Trustee Three

DAN OCONNOR
DIRECTOR
238 OSBORNE HILL RD
FISHKILL NY 12524-2518

Officer/Director/Trustee Four

JENNIFER BOLES
DIRECTOR
12 KAMALII CT
NEWPORT BEACH CA 82663-2355

Officer/Director/Trustee Five

JEAN KULESA
DIRECTOR
60 GREENBROOK DR
BLOOMFIELD NJ 07003-2883

Organization’s website WWW.EVERGREENMINDS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - 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 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 ERIN PARTRIDGE
Signature Title PRESIDENT
Signature Date 5/26/2020

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