FORM 1023-EZ for OPERATOR MINDFULNESS AND MOBILITY

Field Data
EIN 47-1219998
Case Number EO-2020310-000530
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPERATOR MINDFULNESS AND MOBILITY
Organization’s Mailing Address 1039 LAGUNA SECA LOOP
City CHULA VISTA
State CA
ZIP 91915
Accounting period End 12
Primary contact name SHANE M STROBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANE STROBERG
CPA
3663 VIA MERCADO
LA MESA CA 91941

Officer/Director/Trustee Two

NATALIE MIDDLETON
CEO
1039 LAGUNA SECA LOOP
CHULA VISTA CA 91915

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NATALIE MIDDLETON
Signature Title CEO
Signature Date 11/3/2020
EIN 47-1219998
Case Number EO-2014223-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OPERATOR MINDFULNESS AND MOBILITY
Organization’s Mailing Address 259 1/2 F AVENUE
City CORONADO
State CA
ZIP 92118
Accounting period End 12
Primary contact name AUDREY CROMWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHERINE ALFREDO
CEO
259 1/2 F AVENUE
CORONADO CA 92118

Officer/Director/Trustee Two

AILEEN LANDS
DIRECTOR, TREASURER
748 CALLA AVE UNIT A
IMPERIAL BEACH CA 91932

Officer/Director/Trustee Three

NATALIE MIDDLETON
DIRECTOR, CHAIRPERSON OF BOARD
1580 SEACOAST DRIVE UNIT A
IMPERIAL BEACH CA 91932

Officer/Director/Trustee Four

KATE GIBBENS
DIRECTOR, SECRETARY
309 CIRCULO CORONADO
CHULA VISTA CA 91914

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' 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 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
Signature Title
Signature Date

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