FORM 1023-EZ for MYKIDZ MENTORING PROGRAM INC

Field Data
EIN 81-3118947
Case Number EO-2016208-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MYKIDZ MENTORING PROGRAM INC
Organization’s Mailing Address 4550 GREENWOOD DRIVE
City PORTSMOUTH
State VA
ZIP 23701-3106
Accounting period End 12
Primary contact name KIM EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM EVANS
PRESIDENT
4550 GREENWOOD DRIVE
PORTSMOUTH VA 23701-3106

Officer/Director/Trustee Two

LEHA BRYD
VICE-PRESIDENT
729 LEXINGTON STREET
NORFOLK VA 23504-2426

Officer/Director/Trustee Three

SARAH ANDERSON
SECRETARY
1411 LECKIE STREET
PORTSMOUTH VA 23704-1818

Officer/Director/Trustee Four

PEARL HEDGSPETH
TREASURER
5301 SHOAL CREEK ROAD
SUFFOLK VA 23435-4228

Officer/Director/Trustee Five

TOYKEA JONES
DIRECTOR
10204 BLUE HERON WAY
PRINCETON JUNCTION VA 08550-5443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O21 - Boys Clubs
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 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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