FORM 1023-EZ for NYC MENTORS ORG INC

Field Data
EIN 83-2200858
Case Number EO-2019182-000647
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NYC MENTORS ORG INC
Organization’s Mailing Address 164-37 98TH STREET
City HOWARD BEACH
State NY
ZIP 11414
Accounting period End 12
Primary contact name BEENA SOIEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONSTANTIN S MANTA
CFO
164-37 98TH STREET
HOWARD BEACH NY 11414

Officer/Director/Trustee Two

THEODORA ANDREOLAS
DIRECTOR
26 LESLEY DRIVE
SYOSSET NY 11791

Officer/Director/Trustee Three

MARVIN LUTHER WILLIAMS
DIRECTOR
104-07 199TH STREET
HOLLIS NY 11412

Officer/Director/Trustee Four

ARTEM GORODETSKIY
DIRECTOR
406 E 64TH STREET APT 6
NEW YORK NY 10065

Officer/Director/Trustee Five

CARL P CRONHEIM
DIRECTOR
19 W 21ST STREET SUITE 604
NEW YORK NY 10010

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/18
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 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 CONSTANTIN S MANTA
Signature Title CFO
Signature Date 6/28/19

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