FORM 1023-EZ for MENTORS & ME FOUNDATION

Field Data
EIN 84-2896395
Case Number EO-2019252-000514
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTORS & ME FOUNDATION
Organization’s Mailing Address PO BOX 797
City STARKVILLE
State MS
ZIP 39760
Accounting period End 12
Primary contact name VINCE R DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VINCE DAVIS
CHIEF EXECUTIVE OFFICER
135 TUXFORD RD
STARKVILLE MS 39759

Officer/Director/Trustee Two

RODNEY JOHNSON
PRESIDENT
1355 BABYLON RD
STARKVILLE MS 39759

Officer/Director/Trustee Three

KEDRIC SMITH
TREASURER
546 MEGAN LN
COLUMBUS MS 39705

Officer/Director/Trustee Four

MICHELLO GARRICK
VICE PRESIDENT
605 LEIGH DR APT F-59
COLUMBUS MS 39705

Officer/Director/Trustee Five

KELVIN GIBSON
SECRETARY
651 LINCOLN DR
STARKVILLE MS 39759

Organization’s website
Organization’s email MENTORSANDME2@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VINCE DAVIS
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 9/7/19

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