FORM 1023-EZ for MINDFULL ME INC

Field Data
EIN 84-4859919
Case Number EO-2020195-000691
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINDFULL ME INC
Organization’s Mailing Address 905 SW 9TH TERRACE
City FORT LAUDERDALE
State FL
ZIP 33315
Accounting period End 12
Primary contact name DANIEL KATZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL KATZ
DIRECTOR
905 SW 9TH TERRACE
FORT LAUDERDALE FL 33315

Officer/Director/Trustee Two

JONATHON MUNGAL
DIRECTOR
905 SW 9TH TERRACE
FORT LAUDERDALE FL 33315

Officer/Director/Trustee Three

FERNANDO DAVILA
DIRECTOR
905 SW 9TH TERRACE
FORT LAUDERDALE FL 33315

Officer/Director/Trustee Four

ALEXA SEDAKA
DIRECTOR
905 SW 9TH TERRACE
FORT LAUDERDALE FL 33315

Officer/Director/Trustee Five

JAKE LYNCH
DIRECTOR
905 SW 9TH TERRACE
FORT LAUDERDALE FL 33315

Organization’s website MINDFULLME.ORG
Organization’s email MINDFULLMEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 DANIEL KATZ
Signature Title DIRECTOR
Signature Date 7/9/2020

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