FORM 1023-EZ for MINDFUL VILLAGE INC

Field Data
EIN 82-4930876
Case Number EO-2018101-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINDFUL VILLAGE INC
Organization’s Mailing Address 12410 12 MILE RD NE
City GREENVILLE
State MI
ZIP 48838
Accounting period End 12
Primary contact name KATHLEEN M DUNNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIRE WIERDA
PRESIDENT/TREASURER
12410 12 MILE RD NE
GREENVILLE MI 48838

Officer/Director/Trustee Two

LORI PETERSON
VICE PRESIDENT
519 W CASS ST
GREENVILLE MI 48838

Officer/Director/Trustee Three

TERESA TIBBE
SECRETARY
12895 PINE LAKE AVE
CEDAR SPRINGS MI 49319

Officer/Director/Trustee Four

SUSAN MCFARLAND
DIRECTOR
6100 BACK FORTY DR NE
BELMONT MI 49306

Organization’s website
Organization’s email KJWIERDA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
Donation of funds No
Conducting Activities Outside of United States No
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 KIRE WIERDA
Signature Title PRESIDENT/TREASURER
Signature Date 4/9/18

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