FORM 1023-EZ for BIG BROTHER MENTORS
| Field | Data |
|---|---|
| EIN | 82-4338137 |
| Case Number | EO-2018068-000224 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BIG BROTHER MENTORS |
| Organization’s Mailing Address | 512 NORTH BROADWAY ST |
| City | MCCOMB |
| State | MS |
| ZIP | 39648 |
| Accounting period End | 2 |
| Primary contact name | KAREN ANDERSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KAREN ANDERSON
PRESIDENT
512 NORTH BROADWAY
MCCOMB MS 39648
Officer/Director/Trustee Two
GARY LEWIS
VICE PRESIDENT
1010 SUMMIT ST
MCCOMB MS 39648
Officer/Director/Trustee Three
TRISTAN COOK
TREASURE
1057 PLEASENT DR
MAGNOLIA MS 39652
Officer/Director/Trustee Four
CHRISTOPHER HACKETT
SECY
823 25TH STREET
MCCOMB MS 39648
Officer/Director/Trustee Five
FRAKOVI WILLIAMS
OPEN
2016 RICHARD RD
MAGNOLIA MS 39652
| Organization’s website | N/A |
|---|---|
| Organization’s email | BIGBROTHERMENTORINGMS@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/1/17 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O31 - Big Brothers, Big Sisters |
| Organization’s purpose | Charitable: Yes 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 | 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KAREN ANDERSON |
| Signature Title | PRESIDENT |
| Signature Date | 3/7/18 |
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