FORM 1023-EZ for MINDFUL PACKS FOUNDATION

Field Data
EIN 84-2099796
Case Number EO-2020111-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINDFUL PACKS FOUNDATION
Organization’s Mailing Address 2628 ICEFIELD CT
City SANTA CLARA
State CA
ZIP 95051
Accounting period End 6
Primary contact name KIMBERLY Y CUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY CUE
DIRECTOR
2628 ICEFIELD CT
SANTA CLARA CA 95051

Officer/Director/Trustee Two

MICHAEL WRIGHT
CHIEF FINANCIAL OFFICER
2235 CARLETON ST
BERKELEY CA 95051

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 KIMBERLY CUE
Signature Title DIRECTOR
Signature Date 4/16/2020

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