FORM 1023-EZ for MEN IN THE MIRROR FOUNDATION INC

Field Data
EIN 83-1974948
Case Number EO-2018319-000331
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEN IN THE MIRROR FOUNDATION INC
Organization’s Mailing Address 11005 PRESERVATION PARK DR
City CHARLOTTE
State NC
ZIP 28214
Accounting period End 12
Primary contact name MICHAEL PRUNTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL PRUNTY
CHAIR
11005 PRESERVATION PARK DR
CHARLOTTE NC 28214

Officer/Director/Trustee Two

TISZARA PRUNTY
VICE CHAIR / TREASURER
11005 PRESERVATION PARK DR
CHARLOTTE NC 28214

Officer/Director/Trustee Three

RYAN KIMREY
SECRETARY
4735 LINDSTROM DR
CHARLOTTE NC 28226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 MICHAEL PRUNTY
Signature Title CHAIR
Signature Date 11/13/18

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