FORM 1023-EZ for INTENTIONAL MENTORING INCORPORATED
| Field | Data |
|---|---|
| EIN | 81-1759496 |
| Case Number | EO-2016074-000446 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | INTENTIONAL MENTORING INCORPORATED |
| Organization’s Mailing Address | 4236 WARWICK WAY |
| City | MADISON |
| State | WI |
| ZIP | 53715 |
| Accounting period End | 6 |
| Primary contact name | KATIE MAE IMHOFF-SMITH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
KATIE MAE IMHOFF-SMITH
DIRECTOR
4236 WARWICK WAY
MADISON WI 53715
Officer/Director/Trustee Two
DANA FINNE
MENTOR COACH
4477 CRESCENT ROAD 5
FITCHBURG WI 53711
Officer/Director/Trustee Three
CORY MILLER
PROGRAM DIRECTOR
1625 WALDORF BLVD 301
MADISON WI 53719
Officer/Director/Trustee Four
JOHN MCCLUSKEY
MANAGEMENT
3610 BRECKENRIDGE CT 20
FITCHBURG WI 53713
Officer/Director/Trustee Five
FRANNY ROSING
SOCIAL WORKER
5794 DEVON ROAD
FITCHBURG WI 52711
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/8/2016 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O30 - Adult, Child Matching Programs |
| 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 | |
| Signature Title | |
| Signature Date |
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