FORM 1023-EZ for KB MENTORS INCORPORATED

Field Data
EIN 87-1653947
Case Number EO-2021302-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KB MENTORS INCORPORATED
Organization’s Mailing Address 3061 GUION ROAD
City INDIANAPOLIS
State IN
ZIP 46222-0071
Accounting period End 12
Primary contact name KENRICK BURRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENRICK BURRELL
PRESIDENT
3061 GUION ROAD
INDIANAPOLIS IN 46222-0071

Officer/Director/Trustee Two

DONEEKA TUCKER
SECRETARY
6308 OLD BARN COURT
INDIANAPOLIS IN 46268-0085

Officer/Director/Trustee Three

MARCUS KING
TREASURER
4749 OSSINGTON COURT
INDIANAPOLIS IN 46254-1003

Officer/Director/Trustee Four

DAWN BARLO
VICE CHAIR
9615 TIMBERLINE COURT
INDIANAPOLIS IN 46254-1004

Organization’s website
Organization’s email KBMENTORS1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 10/12/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KENRICK BURRELL
Signature Title PRESIDENT
Signature Date 10/27/2021

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