FORM 1023-EZ for EAT MOVE MEDITATE INC

Field Data
EIN 87-2550564
Case Number EO-2021256-000300
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EAT MOVE MEDITATE INC
Organization’s Mailing Address 4859 W SLAUSON AVENUE UNIT 645
City LOS ANGELES
State CA
ZIP 90056
Accounting period End 12
Primary contact name ADRIENNE MASCARENAS DIAZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIENNE MASCARENAS DIAZ
FOUNDER CEO
4859 W SLAUSON AVENUE UNIT 645
LOS ANGELES CA 90056

Officer/Director/Trustee Two

AMIR MADISON
CO-FOUNDER CFO
4859 W SLAUSON AVENUE UNIT 645
LOS ANGELES CA 90056

Officer/Director/Trustee Three

LEJUANE JOHNSON
SECRETARY
4859 W SLAUSON AVENUE UNIT 645
LOS ANGELES CA 90056

Organization’s website WWW.EATMOVEMEDITATELA.COM
Organization’s email ADRIENNE@EATMOVEMEDITATELA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 ADRIENNE MASCARENAS DIAZ
Signature Title FOUNDER CEO
Signature Date 9/9/2021

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