FORM 1023-EZ for YOGA SERVICE MOVEMENT

Field Data
EIN 47-3544308
Case Number EO-2015203-000323
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOGA SERVICE MOVEMENT
Organization’s Mailing Address 1141 MONTREAT RD
City BLACK MOUNTAIN
State NC
ZIP 28711-3231
Accounting period End 12
Primary contact name DANIELLE ROTTENBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIELLE ROTTENBERG
PRESIDENT
10 PAINTED TRILLIUM TR
BLACK MOUNTAIN NC 28711

Officer/Director/Trustee Two

ALLISON MCLEOD
VICE PRESIDENT
26 DANIEL LN
BLACK MOUNTAIN NC 28711

Officer/Director/Trustee Three

REBECCA WORD
SECRETARY
40 BEECH GLEN DR
BLACK MOUNTAIN NC 28711

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 Yes
One Third Support Gifts No
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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