FORM 1023-EZ for AAHA MENTOR

Field Data
EIN 85-3000384
Case Number EO-2020265-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AAHA MENTOR
Organization’s Mailing Address 2300 ABBEY COVE COURT
City MARIETTA
State GA
ZIP 30062-7708
Accounting period End 12
Primary contact name BRIAN RAGLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN RAGLAND
FOUNDER/EXECUTIVE DIRECTOR
2300 ABBEY COVE COURT
MARIETTA GA 30062-7708

Officer/Director/Trustee Two

VANESSA RAGLAND
DIRECTOR
2300 ABBEY COVE COURT
MARIETTA GA 30062-7708

Organization’s website AAHAMENTOR.ORG
Organization’s email BRIAN@AAHAMENTOR.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2020
Organization Incorporation State GA
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: No
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 BRIAN RAGLAND
Signature Title FOUNDER/EXECUTIVE DIRECTOR
Signature Date 9/17/2020

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