FORM 1023-EZ for MENTORS INSPIRING MALES FOR SUCCESS

Field Data
EIN 81-0779959
Case Number EO-2018333-000124
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTORS INSPIRING MALES FOR SUCCESS
Organization’s Mailing Address PO BOX 756
City DALLAS
State NC
ZIP 28034
Accounting period End 12
Primary contact name DORENE BRATTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLENN BRATTON
PRESIDENT
405 S RHYNE STREET
DALLAS NC 28034

Officer/Director/Trustee Two

JERRY HOPPER
TREASURER
977 SURRY LANE
GASTONIA NC 28054

Officer/Director/Trustee Three

BESSIE FRONEBERGER
SECRETARY
641 JASIN DRIVE
GASTONIA NC 28054

Officer/Director/Trustee Four

WANDA BRATTON
FINANCIAL SECRETARY
405 S RHYNE STREET
DALLAS NC 28034

Officer/Director/Trustee Five

MAURICE MCBRYANT
CHAPLAIN
2301 SHADY PINE CT
GASTONIA NC 28054

Organization’s website WWW.MIMS1520.COM
Organization’s email MIMS1520@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/15
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GLENN BRATTON
Signature Title PRESIDENT
Signature Date 11/26/18

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