FORM 1023-EZ for ENCINITAS MINDFULNESS COMMUNITY

Field Data
EIN 47-1914114
Case Number EO-2014272-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ENCINITAS MINDFULNESS COMMUNITY
Organization’s Mailing Address 1092 ALOHA DRIVE
City ENCINITAS
State CA
ZIP 92024
Accounting period End 12
Primary contact name CARY JOEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREGORY MCBAIN
PRESIDENT
810 WOOD DRIVE
ENCINITAS CA 92024-1831

Officer/Director/Trustee Two

CARY JOEL
TREASURER
1092 ALOHA DRIVE
ENCINITAS CA 92024

Officer/Director/Trustee Three

ROBERT ROUSE
DIRECTOR
4777 EDINBURGH DR
CARLSBAD CA 92010

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
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 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 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
Signature Title
Signature Date

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