FORM 1023-EZ for MENTORSTARK

Field Data
EIN 86-1927789
Case Number EO-2021100-000651
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTORSTARK
Organization’s Mailing Address 1224 LOST TREE DR NW
City CANTON
State OH
ZIP 44708
Accounting period End 12
Primary contact name LAURA MOLINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICE FETZER
SECRETARY/DIRECTOR
308 EASTBURY AVE NE
NORTH CANTON OH 44720

Officer/Director/Trustee Two

ZACHARY GLASS
DIRECTOR
3465 DUNMORE AVE
CANTON OH 44646

Officer/Director/Trustee Three

TEMEKO HOLNESS
DIRECTOR
847 EAST AVONDALE AVE
YOUNGSTOWN OH 44502

Officer/Director/Trustee Four

JUSTIN LEPLEY
CHAIRMAN/DIRECTOR
517 WATSON STREET
AKRON OH 44305

Officer/Director/Trustee Five

LAURA MOLINE
FOUNDER/EXECUTIVE DIRECTOR/DIRECTOR
1224 LOST TREE DR NW
CANTON OH 44708

Organization’s website www.mentorstark.org
Organization’s email INFO@MENTORSTARK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2021
Organization Incorporation State OH
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: 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 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 LAURA MOLINE
Signature Title FOUNDER/EXECUTIVE DIRECTOR/DIRECTOR
Signature Date 3/26/2021

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