FORM 1023-EZ for MENTFORLIFE

Field Data
EIN 86-3596849
Case Number EO-2021131-000044
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTFORLIFE
Organization’s Mailing Address 3741 KENZIES WAY
City SANTA CLARA
State UT
ZIP 84765
Accounting period End 12
Primary contact name SARAH VANDERMARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH VANDERMARK
DIRECTOR
3741 KENZIES WAY
SANTA CLARA UT 84765

Officer/Director/Trustee Two

MARLA VANDERMARK
DIRECTOR
227 PINEBROOK ROAD
MANALAPAN NJ 07726

Officer/Director/Trustee Three

GRACE GANGITANO
DIRECTOR
38A ELDORADO PLACE
WEEHAWKEN NJ 07086

Organization’s website WWW.MENTFORLIFE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2021
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 No
Donation of funds Yes
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 SARAH VANDERMARK
Signature Title DIRECTOR
Signature Date 5/8/2021

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