FORM 1023-EZ for ACTIVE MEDITATION INC

Field Data
EIN 82-5350282
Case Number EO-2018140-000006
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACTIVE MEDITATION INC
Organization’s Mailing Address 38 VALENCIA ST
City SAINT AUGUSTINE
State FL
ZIP 32084-3538
Accounting period End 12
Primary contact name JAMES HATFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES WRIGHT
DIRECTOR
38 VALENCIA ST
SAINT AUGUSTINE FL 32084-3538

Officer/Director/Trustee Two

TINA HENLE
DIRECTOR
38 VALENCIA ST
SAINT AUGUSTINE FL 32084-3538

Officer/Director/Trustee Three

ROBERT LEICHTMAN
DIRECTOR
PO BOX 6891
BALTIMORE MD 21285-6891

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
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 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 CHARLES WRIGHT
Signature Title DIRECTOR
Signature Date 5/15/18

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