FORM 1023-EZ for NO MORE SHACKLES EMPOWERMENT MENTORING PROGRAM INC

Field Data
EIN 47-5092107
Case Number EO-2016204-000144
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NO MORE SHACKLES EMPOWERMENT MENTORING PROGRAM INC
Organization’s Mailing Address 4084 PINE STREET
City OCHLOCKNEE
State GA
ZIP 31773
Accounting period End 12
Primary contact name UCHER DENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

UCHER DENT
CEO/CHAIR
4084 PINE STREET
OCHLOCKNEE GA 31773

Officer/Director/Trustee Two

JOUVONIE WALDEN
VICE PRESIDENT
807 STRONG STREET
THOMASVILLE GA 31792

Officer/Director/Trustee Three

KEITH HOSE
TREASURER
2005 PINETREE BLVD
THOMASVILLE GA 31797

Officer/Director/Trustee Four

STEPHANIE DENNIS
SECRETARY
111 FEINBERG ST
THOMASVILLE GA 31792

Officer/Director/Trustee Five

MISTRY TROUTMAN
BOARD MEMBER
PO BOX 52
PELHAM GA 31779

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2015
Organization Incorporation State GA
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: No
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 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
Signature Title
Signature Date

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