FORM 1023-EZ for A KIND MIND

Field Data
EIN 47-4517694
Case Number EO-2015282-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A KIND MIND
Organization’s Mailing Address 7615 GLADE AVE STE 122
City CANOGA PARK
State CA
ZIP 91304
Accounting period End 12
Primary contact name DAVID PERLMUTTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID PERLMUTTER
PRESIDENT, DIRECTOR
7615 GLADE AVE STE 122
CANOGA PARK CA 91304

Officer/Director/Trustee Two

TREVOR MONZELLO
SECRETARY, DIRECTOR
5423 ALFONSO DR
AGOURA HILLS CA 91301

Officer/Director/Trustee Three

CHRISTIAN BRANCHESI
TREASURER, DIRECTOR
17535 FLANDERS ST
GRANADA HILLS CA 91344

Organization’s website WWW.AKINDMIND.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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
Signature Title
Signature Date

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