FORM 1023-EZ for MEN OF COLOR MENTORING ORGANIZATION

Field Data
EIN 83-2751207
Case Number EO-2019029-000910
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEN OF COLOR MENTORING ORGANIZATION
Organization’s Mailing Address 1239 SHAFFER DR APT 3
City LOAIN
State OH
ZIP 44053
Accounting period End 12
Primary contact name ANDRE WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRE WILLIAMS
DIRECTOR
1239 SHAFFER DR APT 3
LORAIN OH 44053

Officer/Director/Trustee Two

STEVE BUSH
DIRECTOR
504 EUCLID AVE
LORAIN OH 44052

Officer/Director/Trustee Three

RANDY SMITH
DIRECTOR
511 WOODLAND
ELYRIA OH 44035

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/18
Organization Incorporation State OH
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 Yes
Donation of funds Yes
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 ANDRE WILLIAMS
Signature Title DIRECTOR
Signature Date 12/19/18

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