FORM 1023-EZ for MY LIFE MENTORING GROUP

Field Data
EIN 85-0775290
Case Number EO-2020211-000028
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY LIFE MENTORING GROUP
Organization’s Mailing Address 930 BELLEVUE STREET
City GREENSBORO
State NC
ZIP 27406-1505
Accounting period End 12
Primary contact name ERICA MAYO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERICA MAYO
EXECUTIVE DIRECTOR
930 BELLEVUE STREET
GREENSBORO NC 27406-1505

Officer/Director/Trustee Two

BRANDON OUTLAW
BOARD OF DIRECTOR
3714 SWEET BIRCH DRIVE
GREENSBORO NC 27406-9805

Officer/Director/Trustee Three

JUMAIL BLUNT
BOARD OF DIRECTOR
1901 A NORCOTT CIRCLE
GREENVILLE NC 27834-5229

Officer/Director/Trustee Four

ROBERT MCKIVER
BOARD OF DIRECTOR
4210 GRACE PARK DRIVE
MORRISVILLE NC 27560-7371

Officer/Director/Trustee Five

CIERRA MORRISON
BOARD OF DIRECTOR
5114 SHORTHORN WAY
GREENSBORO NC 27405-9790

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 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 ERICA MAYO
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/27/2020

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