FORM 1023-EZ for BLUE LOTUS MINDFULNESS AND MEDITATION CENTER

Field Data
EIN 85-0819822
Case Number EO-2020280-000103
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE LOTUS MINDFULNESS AND MEDITATION CENTER
Organization’s Mailing Address 11108 EAGLE VIEW DRIVE
City BRAINERD
State MN
ZIP 56401
Accounting period End 12
Primary contact name VLADIMIR ZIVKOVIC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VLADIMIR ZIVKOVIC
FOUNDER
29066 PEPPIN DRIVE
BROWERVILLE MN 56438

Organization’s website WWW.BLUELOTUSMINDFULNESS.US
Organization’s email BLUELOTUSMINDFULNESS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X50 - Buddhist
Organization’s purpose Charitable: Yes
Religious: Yes
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 VLADIMIR ZIVKOVIC
Signature Title FOUNDER
Signature Date 10/4/2020

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