FORM 1023-EZ for MY COMMUNITY MENTORS INC

Field Data
EIN 82-2291446
Case Number EO-2017334-000315
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY COMMUNITY MENTORS INC
Organization’s Mailing Address 314 E LAUREL AVENUE SUITE 4
City FOLEY
State AL
ZIP 36535
Accounting period End 12
Primary contact name WILLIE POPE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIE POPE
PRESIDENT
32369 US HIGHWAY 98
LILLIAN AL 36549

Officer/Director/Trustee Two

ENGLISH EVANS
VICE PRESIDENT
9801 BETHANY DRIVE APT J
FOLEY AL 36535

Officer/Director/Trustee Three

KIMBERLY POPE
SECRETARY
12924 POPE LANE
LILLIAN AL 36549

Officer/Director/Trustee Four

ELIZABETH WHITEHURST
TREASURER
32369 US HIGHWAY 98
LILLIAN AL 36549

Officer/Director/Trustee Five

CRYSTAL LEVASSEUR
ADMINISTRATIVE ASSISTANT
9472 BRIGHTON
ELBERTA AL 36530

Organization’s website
Organization’s email MYCOMMUNITYMENTOR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2017
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 Yes
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
Signature Title
Signature Date

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