FORM 1023-EZ for INTERNATIONAL MENTORING ASSOCIATION

Field Data
EIN 45-5249342
Case Number EO-2016286-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERNATIONAL MENTORING ASSOCIATION
Organization’s Mailing Address 1716 LAS LOMAS NE
City ALBUQUERQUE
State NM
ZIP 87106
Accounting period End 12
Primary contact name NORA DOMINGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORA DOMINGUEZ
PRESIDENT
1716 LAS LOMAS NE
ALBUQUERQUE NM 87106

Officer/Director/Trustee Two

NANCY PHENIS-BOURKE
PRESIDENT-ELECT
6471 FOX CHASE
PENDLETON IN 46064

Officer/Director/Trustee Three

CAROL RILEY
SECRETARY-TREASURER
15221 FOG MOUNTAIN CIRCLE
HAYMARKET VA 20169

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2012
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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
Signature Title
Signature Date

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