FORM 1023-EZ for MENTORS EMPOWERED
| Field | Data |
|---|---|
| EIN | 84-3585838 |
| Case Number | EO-2020022-000462 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MENTORS EMPOWERED |
| Organization’s Mailing Address | 2708 TIMBERPEG CT |
| City | CONWAY |
| State | AR |
| ZIP | 72034 |
| Accounting period End | 6 |
| Primary contact name | JEREMY FOX |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEREMY FOX
PRESIDENT
2708 TIMBERPEG CT
CONWAY AR 72034
Officer/Director/Trustee Two
ALLISON LANE
TREASURER
865 CORDOBA DR
CONWAY AR 72034
Officer/Director/Trustee Three
CHRIS RIGGINS
DIRECTOR
1730 JOHN BRYANT DR
CONWAY AR 72034
Officer/Director/Trustee Four
TOMMY THOMPSON
DIRECTOR
1246 EMBER RD
SHIRLEY AR 72153
Officer/Director/Trustee Five
DELENA GAMMILL
SECRETARY
1246 EMBER RD
SHIRLEY AR 72153
| Organization’s website | WWW.MENTORSEMPOWERED.COM |
|---|---|
| Organization’s email | JFOX@MENTORSEMPOWERED.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/15/2019 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O51 - Youth Community Service Clubs |
| 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 | Yes |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JEREMY FOX |
| Signature Title | PRESIDENT |
| Signature Date | 1/20/2020 |
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