FORM 1023-EZ for MENTORING YOUTH & TEENS HEALTH

Field Data
EIN 83-2300321
Case Number EO-2019029-000965
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTORING YOUTH & TEENS HEALTH
Organization’s Mailing Address 1560 HAWKINS AVE
City NORTH BALDWIN
State NY
ZIP 11510-1815
Accounting period End 11
Primary contact name TAH-JAI SHARPE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAH-JAI SHARPE
CEO & FOUNDER
1560 HAWKINS AVE
NORTH BALDWIN NY 11510-1815

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/18
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAH-JAI SHARPE
Signature Title CEO & FOUNDER
Signature Date 12/19/18

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