FORM 1023-EZ for BEAUTIFUL AMBITIOUS ME MENTORING PROGRAM

Field Data
EIN 46-5601494
Case Number EO-2017061-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEAUTIFUL AMBITIOUS ME MENTORING PROGRAM
Organization’s Mailing Address P O BOX 25393
City FORT WORTH
State TX
ZIP 76124-2393
Accounting period End 12
Primary contact name KRYSTAL MATTHIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRYSTAL MATHIS
PRESIDENT
P O BOX 25393
FORT WORTH TX 76124-2393

Officer/Director/Trustee Two

SHIRLEY HARRIS
VICE PRESIDENT
625 ARCADIA STREET APT 309
HURST TX 76053-5628

Officer/Director/Trustee Three

DERISHA LINDSEY
SECRETARY
109 MCDONALD DRIVE
ATHENS TX 75751-2634

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2017
Organization Incorporation State TX
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: Yes
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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