FORM 1023-EZ for MENTORS4MOMS INC

Field Data
EIN 47-1995804
Case Number EO-2015082-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MENTORS4MOMS INC
Organization’s Mailing Address 10482 TATAS PLACE
City ESCONDIDO
State CA
ZIP 92026
Accounting period End 12
Primary contact name RICHARD R RAHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUELYN MENDOZA
PRESIDENT
10482 TATAS PLACE
ESCONDIDO CA 92026

Officer/Director/Trustee Two

DARIANE REUTLINGER
SECRETARY
612 BEECHWOOD STREET
ESCONDIDO CA 92025

Officer/Director/Trustee Three

RON HENDRIX
TREASURER
1892 CENTENNIAL WAY
ESCONDIDO CA 92026

Officer/Director/Trustee Four

MAUREEN CHARLES
DIRECTOR/ADVISOR
9715 AUSTIN DRIVE
SPRING VALLEY CA 91977

Officer/Director/Trustee Five

SHARON OU
DIRECTOR/ADVISOR
PO BOX 503336
SAN DIEGO CA 92150

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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