FORM 1023-EZ for MINDFUL VALOR FOUNDATION INC

Field Data
EIN 83-3654084
Case Number EO-2019067-000406
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINDFUL VALOR FOUNDATION INC
Organization’s Mailing Address 1 WOOD ROAD
City WILMINGTON
State DE
ZIP 19806
Accounting period End 12
Primary contact name JONATHON MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTIN BECK
PRESIDENT / DIRECTOR
1 WOOD ROAD
WILMINGTON DE 19806

Officer/Director/Trustee Two

JANE DICKERSON
SECRETARY / DIRECTOR
500 E LANCASTER AVE APT 126D
ST DAVIDS PA 19087

Officer/Director/Trustee Three

CAIT BOYCE
DIRECTOR
1383 BARBERRY DRIVE
TERREBONNE OR 97760

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/19
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 KRISTIN BECK
Signature Title PRESIDENT / DIRECTOR
Signature Date 3/6/19

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