FORM 1023-EZ for SOUTH SHORE MINDFULNESS INC

Field Data
EIN 82-2539875
Case Number EO-2017268-000479
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH SHORE MINDFULNESS INC
Organization’s Mailing Address 15 FAIRMOUNT WAY
City HULL
State MA
ZIP 02045
Accounting period End 12
Primary contact name PAUL SCHLOSBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL SCHLOSBERG
PRESIDENT/DIRECTOR
15 FAIRMOUNT WAY
HULL MA 02045

Officer/Director/Trustee Two

CHRIS HOWLEY
TREASURER/DIRECTOR
42 CHANNING ST
WOLLASTON MA 02170

Officer/Director/Trustee Three

MISOP BAYNUN
SECRETARY/DIRECTOR
91 CLAY ST
WOLLASTON MA 02170

Organization’s website
Organization’s email PAUL_SCHLOSBERG@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2017
Organization Incorporation State MA
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: 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 Yes
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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