FORM 1023-EZ for MOBY MIND OVER BODY YOGA

Field Data
EIN 82-5392809
Case Number EO-2018155-000494
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOBY MIND OVER BODY YOGA
Organization’s Mailing Address 15464 171ST DR SE
City MONROE
State WA
ZIP 98272
Accounting period End 12
Primary contact name TAWNYA AXELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAWNYA AXELSON
PRESIDENT
15464 171ST DR SE
MONROE WA 98272

Officer/Director/Trustee Two

JASON AXELSON
VICE-PRESIDENT
15464 171ST DR SE
MONROE WA 98272

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 TAWNYA AXELSON
Signature Title PRESIDENT
Signature Date 5/31/18

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