FORM 1023-EZ for BEAUTIFUL MIND FOUNDATION INC

Field Data
EIN 83-3296156
Case Number EO-2019169-000397
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEAUTIFUL MIND FOUNDATION INC
Organization’s Mailing Address 8815 CONROY WINDERMERE ROAD STE 628
City ORLANDO
State CA
ZIP 32835
Accounting period End 12
Primary contact name ALLISON HUYNH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH LAI
PRESIDENT
8815 CONROY WINDERMERE ROAD 628
ORLANDO FL 32835

Officer/Director/Trustee Two

PHUONG HUYNH
TREASURER
8815 CONROY WINDERMERE ROAD 628
ORLANDO CA 32835

Officer/Director/Trustee Three

ALLISON HUYNH
SECRETARY
5329 MOSSY STONE WAY
RANCHO CORDOVA CA 95742

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 KENNETH LAI
Signature Title PRESIDENT
Signature Date 6/14/19

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