FORM 1023-EZ for SHAPE MENTORING
| Field | Data |
|---|---|
| EIN | 84-3129744 |
| Case Number | EO-2020083-000516 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHAPE MENTORING |
| Organization’s Mailing Address | 2145 FOXFIRE ROAD UNIT 1 |
| City | JACKSON SPRINGS |
| State | NC |
| ZIP | 27281 |
| Accounting period End | 12 |
| Primary contact name | DONNA TAYLOR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LANETTA SPELLERS
PRESIDENT
6107 STONE COURT GATE
RAEFORD NC 28376
Officer/Director/Trustee Two
DION WINGATE
VICE-PRESIDENT
1321 E CAMEO LANE
KNIGHTDALE NC 27376
Officer/Director/Trustee Three
JENNIFER BEADEALL
SECRETARY
717 SEVEN LAKES NORTH
WEST END NC 27376
Officer/Director/Trustee Four
JIMMY TAYLOR
TREASURE
2145 FOXFIRE ROAD
JACKSON SPRINGS NC 27281
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/16/2020 |
| Organization Incorporation State | NC |
| 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: No Religious: Yes 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 | 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 | JIMMY TAYLOR |
| Signature Title | TREASURE |
| Signature Date | 3/21/2020 |
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