FORM 1023-EZ for FRONTLINE MIND BODY PROJECT INC

Field Data
EIN 85-3361138
Case Number EO-2021083-000536
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRONTLINE MIND BODY PROJECT INC
Organization’s Mailing Address 200 LINDELL BLVD SUITE 916
City DELRAY BEACH
State FL
ZIP 33483
Accounting period End 12
Primary contact name ANKUSH BANSEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE SAN MIGUEL
PRESIDENT
2801 FLORIDA AVE UNIT 205
MIAMI FL 33133

Officer/Director/Trustee Two

ANKUSH BANSEL
VICE PRESIDENT
8762 MARLAMOOR LANE
PALM BEACH GARDENS FL 33412

Officer/Director/Trustee Three

SCOTT TENREIRO
VICE PRESIDENT
2756 W TRADE AVE UNIT A
MIAMI FL 33133

Officer/Director/Trustee Four

MICHAEL FORTUNA
SECRETARY
6243 BAY CLUB DRIVE APT 4
FORT LAUDERDALE FL 33308

Officer/Director/Trustee Five

DONNA NICHOLSON
TREASURER
1610W SINGING WOODS DRIVE
EDELSTEIN IL 61526

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 ANKUSH BANSEL
Signature Title VICE PRESIDENT
Signature Date 11/18/2020

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