FORM 1023-EZ for PROVERBS MENTORING ORGANIZATION

Field Data
EIN 82-4149382
Case Number EO-2018030-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROVERBS MENTORING ORGANIZATION
Organization’s Mailing Address PO BOX 766
City PENDLETON
State SC
ZIP 29670
Accounting period End 12
Primary contact name DONALD PEPPERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD PEPPERS
PRESIDENT, DIRECTOR
132 KENWOOD DR
ANDERSON SC 29625

Officer/Director/Trustee Two

MARILYN DUNCAN
SECRETARY, DIRECTOR
116 MOOREHEAD PL
PENDLETON SC 29670

Officer/Director/Trustee Three

TRACY SPEAR
TREASURER, DIRECTOR
107 ASHBY CT
ANDERSON SC 29625

Officer/Director/Trustee Four

VINCENT MCCRAY
DIRECTOR
122 CANEBRAKE DR
GREER SC 29650

Officer/Director/Trustee Five

ANGELA LANE
DIRECTOR
PO BOX 766
PENDLETON SC 29670

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/18
Organization Incorporation State SC
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 DONALD PEPPERS
Signature Title PRESIDENT, DIRECTOR
Signature Date 1/28/18

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