FORM 1023-EZ for MENTORS WHO MOVE

Field Data
EIN 83-1800982
Case Number EO-2018257-000443
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTORS WHO MOVE
Organization’s Mailing Address 11710 STERLING BROOK ST
City PEARLAND
State TX
ZIP 77584
Accounting period End 12
Primary contact name PATRICK LAINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETH LAINE
OFFICER
6011 CHATEAU LOIRE CR
MANDEVILLE LA 70448

Officer/Director/Trustee Two

STACEY DOUD
OFFICER
464 CAVINESS DR
GRAPEVINE TX 76051

Officer/Director/Trustee Three

PATRICK LAINE
DIRECTOR
11710 STERLING BROOK ST
PEARLAND TX 77584

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICK LAINE
Signature Title DIRECTOR
Signature Date 9/12/18

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