FORM 1023-EZ for MENTORING PLUS 123 SERVICES

Field Data
EIN 84-3426065
Case Number EO-2019323-000299
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTORING PLUS 123 SERVICES
Organization’s Mailing Address 7417 S 48 ST
City LINCOLN
State NE
ZIP 68516
Accounting period End 12
Primary contact name ELTON EDMOND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELTON EDMOND JR
DIRECTOR
7417 S 48 ST
LINCOLN NE 68516

Officer/Director/Trustee Two

ELTON EDMOND III
DIRECTOR
4700 NORMAL BLVD
LINCOLN NE 68506

Officer/Director/Trustee Three

EDWARD BRECKENRIDGE
DIRECTOR
6020 AMES AVE
OMAHA NE 68104

Organization’s website NONE
Organization’s email ELTON.EDMOND75126@CAMPUS.PERU.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/19
Organization Incorporation State NE
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: 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 ELTON EDMOND JR
Signature Title DIRECTOR
Signature Date 11/17/19

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