FORM 1023-EZ for BERYLSTONE MENTORING GROUP INC

Field Data
EIN 82-2087525
Case Number EO-2018106-000417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BERYLSTONE MENTORING GROUP INC
Organization’s Mailing Address 1731 NORTH EAST SECOND COURT
City BOYNTON BEACH
State FL
ZIP 33435
Accounting period End 7
Primary contact name ANDREA SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA SHAW
PRESIDENT
1731 NORTH EAST 2ND COURT
BOYNTON BEACH FL 33435

Officer/Director/Trustee Two

TINA BOSTICK-DANIELS
VICE PRESIDENT
12349 COLONY PRESERVE
BOYNTON BEACH FL 33436

Officer/Director/Trustee Three

DONAL RICKS
SECRETARY
570 SOUTH WEST 14TH STREET
DEERFIELD BEACH FL 33441

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/17
Organization Incorporation State FL
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 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 ANDREA SHAW
Signature Title PRESIDENT
Signature Date 4/10/18

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