FORM 1023-EZ for FRIENDS OF NICOLE 50 50 MENTORING COLLABORATIVE INCORPORATED

Field Data
EIN 84-1897307
Case Number EO-2019164-000290
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF NICOLE 50 50 MENTORING COLLABORATIVE INCORPORATED
Organization’s Mailing Address 4416 TAYLOR BLVD SUITE 5
City LOUISVILLE
State KY
ZIP 40215
Accounting period End 7
Primary contact name NICOLE HAYDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE HAYDEN
PRESIDENT
4416 TAYLOR BLVD SUITE 5
LOUISVILLE KY 40215

Officer/Director/Trustee Two

MARIA CHURN
VICE PRESIDENT
4416 TAYLOR BLVD SUITE 5
LOUISVILLE KY 40215

Officer/Director/Trustee Three

LAKESHA CHURN
SECRETARY
4416 TAYLOR BLVD SUITE 5
LOUISVILLE KY 40215

Officer/Director/Trustee Four

JANIA CARTER
TREASURER
4416 TAYLOR BLVD SUITE 5
LOUISVILLE KY 40215

Officer/Director/Trustee Five

HARLINA CHURN
DIRECTOR
4416 TAYLOR BLVD SUITE 5
LOUISVILLE KY 40215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 NICOLE HAYDEN
Signature Title PRESIDENT
Signature Date 6/11/19

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