FORM 1023-EZ for MENTORS MEALS

Field Data
EIN 47-5354733
Case Number EO-2015295-000414
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MENTORS MEALS
Organization’s Mailing Address 160 LEXINGTON ROAD
City VERSAILLES
State KY
ZIP 40383
Accounting period End 6
Primary contact name LISA C JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA JOHNSON
PRESIDENT
6035 CRABAPPLE ROAD
VERSAILLES KY 40383

Officer/Director/Trustee Two

KIM BOYD
TREASURER
122 NORTH LOCUST ST
VERSAILLES KY 40383

Officer/Director/Trustee Three

GARY JONES
SECRETARY
148 STOUT AVENUE
VERSAILLES KY 40383

Officer/Director/Trustee Four

PETE JONES
FOUNDING BOARD MEMBER
129 WEST BROADWAY
LAWRENCEBURG KY 40342-1259

Organization’s website WWW.MENTORS-MEALS.ORG
Organization’s email LISA@MENTORS-MEALS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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
Signature Title
Signature Date

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