FORM 1023-EZ for MENTOR CONNECTOR

Field Data
EIN 86-2337164
Case Number EO-2021093-000932
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTOR CONNECTOR
Organization’s Mailing Address 2197 SUNRISE ST
City FERNDALE
State WA
ZIP 98248
Accounting period End 12
Primary contact name NOAH WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NOAH WILLIAMS
PRESIDENT
2197 SUNRISE ST
FERNDALE WA 98248

Officer/Director/Trustee Two

KAVITA TANNA
TREASURER
37 ROMNEY CLOSE - HA2 7EH - UK
HARROW WA 00000

Officer/Director/Trustee Three

BABUSI NGWENYA
VICE PRESIDENT
86A OLD ESIGODINI ROAD - ZIMBABWE
BULAWAYO WA 00000

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 No
Conducting Activities Outside of United States Yes
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 NOAH WILLIAMS
Signature Title PRESIDENT
Signature Date 3/3/2021

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