FORM 1023-EZ for WASHINGTON MINDCARE INSTITUTE

Field Data
EIN 82-4753757
Case Number EO-2018247-000747
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHINGTON MINDCARE INSTITUTE
Organization’s Mailing Address 10560 MAIN STREET SUITE 508
City FAIRFAX
State VA
ZIP 22030-7173
Accounting period End 6
Primary contact name EUNHEE SONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EUNHEE SONG
CHIEF EXECUTIVE OFFICER
6775 STONE MAPLE TER
CENTREVILLE VA 20121-5737

Officer/Director/Trustee Two

TAK HYUN CHO
SECRETARY
283 ROLLINS AVENUE
ROCKVILLE MD 20852

Officer/Director/Trustee Three

SOOK JA LEE
TREASURER
10011 SCENIC VIEW TER
VIENNA VA 22182-1367

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 EUNHEE SONG
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 9/1/18

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