FORM 1023-EZ for MINDFUL SOMATICS INSTITUTE

Field Data
EIN 47-5477068
Case Number EO-2015329-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINDFUL SOMATICS INSTITUTE
Organization’s Mailing Address PO BOX 9038
City SANTA FE
State NM
ZIP 87504
Accounting period End 12
Primary contact name KEVIN WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN WILLIAMS
PRESIDENT
PO BOX 9038
SANTA FE NM 87504

Officer/Director/Trustee Two

SAM ESCOBEDO
TREASURER
149 CAMINO ESCONDIDO
SANTA FE NM 87501

Officer/Director/Trustee Three

JANE LEMMER
SECRETARY
337 C DON CUBERO PL
SANTA FE NM 87505

Organization’s website WWW.MINDFULSOMATICS.ORG
Organization’s email JRIVERMARTIN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2015
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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