FORM 1023-EZ for BREATH-BODY-MIND FOUNDATION INC

Field Data
EIN 85-0993282
Case Number EO-2020155-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREATH-BODY-MIND FOUNDATION INC
Organization’s Mailing Address 86 SHERRY LANE
City KINGSTON
State NY
ZIP 12401
Accounting period End 12
Primary contact name CAROL A HYDE - SECRETARY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA GERBARG
PRESIDENT
86 SHERRY LANE
KINGSTON NY 12401

Officer/Director/Trustee Two

BRIAN HART
TREASURER AND TRUSTEE
158 FOREST HILL ROAD
APALACHIN NY 13732

Officer/Director/Trustee Three

RICHARD BROWN
CHAIR AND TRUSTEE
86 SHERRY LANE
KINGSTON NY 12401

Officer/Director/Trustee Four

CAROL HYDE
SECRETARY AND TRUSTEE
1034 LAMPLIGHTER ROAD
NISKAYUNA NY 12309-1159

Officer/Director/Trustee Five

JAYNE KEITH
TRUSTEE
688 ISLAND DRIVE
PALM BEACH FL 33480

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Conducting Activities Outside of United States Yes
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 CAROL HYDE
Signature Title SECRETARY AND TRUSTEE
Signature Date 6/1/2020

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