FORM 1023-EZ for EDEN INTEGRATIVE MEDICINE

Field Data
EIN 85-3995040
Case Number EO-2021152-000434
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EDEN INTEGRATIVE MEDICINE
Organization’s Mailing Address 4613 N UNIVERSITY DRIVE UNIT 399
City CORAL SPRINGS
State FL
ZIP 33067
Accounting period End 11
Primary contact name MAHLA MONTALVO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAHLA MONTALVO
DIRECTOR
4613 N UNIVERSITY DRIVE UNIT 399
CORAL SPRINGS FL 33067

Organization’s website WWW.EDENINTEGRATIVEMEDICINE.ORG
Organization’s email INFO@EDENINTEGRATIVE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G40 - Diseases of Specific Organs
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 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 MAHLA MONTALVO
Signature Title DIRECTOR
Signature Date 5/28/2021

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