FORM 1023-EZ for MENTORS MOVING MOUNTAINS INC

Field Data
EIN 81-4952385
Case Number EO-2017076-000082
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MENTORS MOVING MOUNTAINS INC
Organization’s Mailing Address 1295 DEFENSE HIGHWAY
City GAMBRILLS
State MD
ZIP 21054
Accounting period End 12
Primary contact name KELLI PATTERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLI PATTERSON
PRESIDENT/DIRECTOR
1295 DEFENSE HIGHWAY
GAMBRILLS MD 21054

Officer/Director/Trustee Two

BARBARA SHIRK
TREASURER/DIRECTOR
200 BROOKFIELD ROAD
PASADENA MD 21122

Officer/Director/Trustee Three

LEON FOSSETT
SECRETARY/DIRECTOR
767 ELMHURST ROAD
SEVERN MD 21144

Organization’s website
Organization’s email KELLIAPATTERSON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2017
Organization Incorporation State MD
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: 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 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
Signature Title
Signature Date

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