FORM 1023-EZ for MIND BODY AND SOUL SOLUTIONS INC

Field Data
EIN 87-1854101
Case Number EO-2021211-000372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIND BODY AND SOUL SOLUTIONS INC
Organization’s Mailing Address 3348 CALDWELL STREET
City DELTONA
State FL
ZIP 32738
Accounting period End 12
Primary contact name ANNA ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNA ADAMS
PRESIDENT
3348 CALDWELL STREET
DELTONA FL 32738

Officer/Director/Trustee Two

CHRISTOPHER MORGAN
VP
3726 SAFFLOWER TERRACE
OVIEDO FL 32766

Officer/Director/Trustee Three

MEGAN MORGAN
SECRETARY
3726 SAFFLOWER TERRACE
OVIEDO FL 32766

Officer/Director/Trustee Four

REGINALD MARVIN JR
DIRECTOR
113 WATERFORD HIGHLANDS TRAIL
CALERA AL 35040

Officer/Director/Trustee Five

ROGER ACCARDIA
DIRECTOR
2583 S VOLUSIA AVE
ORANGE CITY FL 32763

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - 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 No
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 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 ANNA ADAMS
Signature Title PRESIDENT
Signature Date 7/28/2021

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