FORM 1023-EZ for CALM MIND FOUNDATION INC

Field Data
EIN 84-2833299
Case Number EO-2019294-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CALM MIND FOUNDATION INC
Organization’s Mailing Address 110
City COVINGTON
State KY
ZIP 41011
Accounting period End 12
Primary contact name JESSICA STARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA STARR
PRESIDENT
1105 LEE STREET
COVINGTON KY 41011

Officer/Director/Trustee Two

VIRGINIA SOUTHGATE
DIRECTOR
30 BIEHL STREET
NEWPORT KY 41071-1084

Officer/Director/Trustee Three

REBECCA MOIX
DIRECTOR
232 KENTUCKY AVENUE
COVINGTON KY 41011

Organization’s website CALMMINDFOUNDATION.ORG
Organization’s email BREATHE@CALMMINDFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JESSICA STARR
Signature Title PRESIDENT
Signature Date 10/17/19

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