FORM 1023-EZ for MENDED SOULS

Field Data
EIN 84-3502036
Case Number EO-2020062-000415
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENDED SOULS
Organization’s Mailing Address 379 OLD STAGE ROAD
City ARROWSIC
State ME
ZIP 04530
Accounting period End 10
Primary contact name SAM WOODMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALBERT WYMAN
OFFICERS
100 COURT
BATH ME 04530

Officer/Director/Trustee Two

ANGELA RICKER
OFFICERS
59 DRAYTON
BATH ME 04530

Officer/Director/Trustee Three

KAYLA CHAPUT
SECRETARY
100 COURT
BATH ME 04530

Officer/Director/Trustee Four

SAM WOODMAN
DIRECTOR
379 OLD STAGE ROAD
ARROWSIC ME 04530

Organization’s website
Organization’s email MENDEDSOULS207@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2019
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Gaming Activity No
Disaster relief assistance Yes
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 SAM WOODMAN
Signature Title DIRECTOR
Signature Date 2/28/2020

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