FORM 1023-EZ for TIARAS MENTOR PROGRAM

Field Data
EIN 84-2139700
Case Number EO-2019182-000557
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIARAS MENTOR PROGRAM
Organization’s Mailing Address 1426 AUTUMNCREST DRIVE
City ARLINGTON
State TX
ZIP 76002
Accounting period End 12
Primary contact name ANGELA STIFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA STIFF
PRESIDENT
1426 AUTUMNCREST DRIVE
ARLINGTON TX 76002

Officer/Director/Trustee Two

SHIRLEY MASSEY
SECRETARY
1426 AUTUMNCREST DRIVE
ARLINGTON TX 76002

Officer/Director/Trustee Three

TAYLOR STIFF
TREASURER
1426 AUTUMNCREST DRIVE
ARLINGTON TX 76002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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 ANGELA STIFF
Signature Title PRESIDENT
Signature Date 6/27/19

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