FORM 1023-EZ for BE MINDFUL INC

Field Data
EIN 84-3492662
Case Number EO-2021089-000563
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BE MINDFUL INC
Organization’s Mailing Address 2312 ORTON DRIVE
City CHARLOTTE
State NC
ZIP 28208
Accounting period End 12
Primary contact name CASSANDRA DRAKEFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSANDRA DRAKEFORD
EXECUTIVE DIRECTOR
2312 ORTON STREET
CHARLOTTE NC 28208

Officer/Director/Trustee Two

WALTER GWIN
DIRECTOR
2312 ORTON STREET
CHARLOTTE NC 28208

Officer/Director/Trustee Three

VERNA ROCHON
DIRECTOR
2312 ORTON STREET
CHARLOTTE NC 28208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 CASSANDRA DRAKEFORD
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/11/2021

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