FORM 1023-EZ for MENTORING THROUGH MOVEMENT

Field Data
EIN 84-4450879
Case Number EO-2020031-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTORING THROUGH MOVEMENT
Organization’s Mailing Address 555 BURBANK ST STE M
City BROOMFIELD
State CO
ZIP 80020
Accounting period End 12
Primary contact name MAGGIE PIEPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON SLADE
PRESIDENT
718 SUNDOWN DR
LAFAYETTE CO 80026

Officer/Director/Trustee Two

TYLER SLADE
VICE PRESIDENT
787 EVA PEAK DR
ERIE CO 80516

Officer/Director/Trustee Three

KATIE CELANO
SECRETARY
1068 MEADOW CT
LOUISVILLE CO 80027

Officer/Director/Trustee Four

ERNIE VILLANY
TREASURER
555 BURBANK ST STE M
BROOMFIELD CO 80020

Officer/Director/Trustee Five

ERICA BIERINGER
BOARD MEMBER
1021 MAIN ST
LOUISVILLE CO 80027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 BRANDON SLADE
Signature Title PRESIDENT
Signature Date 1/29/2020

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