FORM 1023-EZ for MIND-BODY MEDICINE INC

Field Data
EIN 85-2931768
Case Number EO-2020279-000669
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIND-BODY MEDICINE INC
Organization’s Mailing Address 2141 LEE DRIVE
City BATON ROUGE
State LA
ZIP 70808
Accounting period End 12
Primary contact name LYN LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY PHILLIPS
OFFICER
616 COLLEGE HILL DRIVE
BATON ROUGE LA 70808

Officer/Director/Trustee Two

LAURA GADDY
OFFICER
540 DREHR
BATON ROUGE LA 70806

Officer/Director/Trustee Three

LYN LAWRENCE
DIRECTOR
2141 LEE DRIVE
BATON ROUGE LA 70808

Officer/Director/Trustee Five

LYN LAWRENCE
DIRECTOR
2141 LEE DRIVE
BATON ROUGE LA 70808

Organization’s website
Organization’s email LFRANCINNE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2020
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 LYN LAWRENCE
Signature Title DIRECTOR
Signature Date 10/2/2020

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