FORM 1023-EZ for MENTORSHIP ALIVE INC

Field Data
EIN 30-0385233
Case Number EO-2018024-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTORSHIP ALIVE INC
Organization’s Mailing Address PO BOX 2755
City NIAGARA FALLS
State NY
ZIP 14302
Accounting period End 12
Primary contact name ANDREIA FEAGIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREIA FEAGIN
PRESIDENT
2015 WOODLAWN AVE
NIAGARA FALLS NY 14301

Officer/Director/Trustee Two

LINDA MCCALL
TREASURER
PO BOX 2755
NIAGARA FALLS NY 14302

Officer/Director/Trustee Three

DANNA KEMP
SECRETARY
PO BOX 2755
NIAGARA FALLS NY 14302

Organization’s website
Organization’s email MENTORSHIP@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/06
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREIA FEAGIN
Signature Title PRESIDENT
Signature Date 1/21/18

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