FORM 1023-EZ for MIND BODY AND SOUL WELLNESS RETREAT

Field Data
EIN 85-1560217
Case Number EO-2020218-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIND BODY AND SOUL WELLNESS RETREAT
Organization’s Mailing Address 20540 STATE HWY 46 WEST STE 115
City SPRING BRANCH
State TX
ZIP 78070-6821
Accounting period End 9
Primary contact name CURTIS JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY JOHNSON
CHIEF EXECUTIVE OFFICER
20540 STATE HWY 46 WEST STE 115
SPRING BRANCH TX 78070-6821

Officer/Director/Trustee Two

CURTIS JOHNSON
CHIEF OPERATING OFFICER
20540 STATE HWY 46 WEST STE 115
SPRING BRANCH TX 78070-6821

Officer/Director/Trustee Three

AARON FELIX
CHIEF MARKETING OFFICER
20540 STATE HWY 46 WEST STE 115
SPRING BRANCH TX 78070-6821

Officer/Director/Trustee Four

MONIQUE JOHNSON
CHIEF EXECUTIVES MANAGER
20540 STATE HWY 46 WEST STE 115
SPRING BRANCH TX 78070-6821

Officer/Director/Trustee Five

JUSTIN WILLIAMS
CHIEF FINANCIAL OFFICER
20540 STATE HWY 46 WEST STE 115
SPRING BRANCH TX 78265

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social 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 CURTIS JOHNSON
Signature Title CHIEF OPERATING OFFICER
Signature Date 8/3/2020

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