FORM 1023-EZ for CHILDRENS HEALTH AND MENTOR PROGRAMINC
| Field | Data |
|---|---|
| EIN | 83-3427216 |
| Case Number | EO-2019039-000819 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHILDRENS HEALTH AND MENTOR PROGRAMINC |
| Organization’s Mailing Address | 6148 FOSTER STREET |
| City | JUPITER |
| State | FL |
| ZIP | 33458 |
| Accounting period End | 12 |
| Primary contact name | BRETT CARPENTER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRETT CARPENTER
CHAIRMAN AND PRESIDENT
6148 FOSTER STREET
JUPITER FL 33458
Officer/Director/Trustee Two
CHRIS COLLINS
TREASURER
4437 LINDEN AVE
PALM BEACH GARDENS FL 33410
Officer/Director/Trustee Three
KAREN LOPATOSKY
CORPORATE SECRETARY
12287 HILLMAN DRIVE
PALM BEACH GARDENS FL 33410
Officer/Director/Trustee Four
ROGER BACON
DIRECTOR
6053 LUCERNE STREET
JUPITER FL 33458
Officer/Director/Trustee Five
JOHN HOFFMAN
DIRECTOR
4465 SW LONG BAY DRIVE
PALM CITY FL 34990
| Organization’s website | |
|---|---|
| Organization’s email | BRETTC@MYYCHAMP.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/18/19 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| 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 | Yes |
| 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 | Yes |
| 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 | BRETT CARPENTER |
| Signature Title | CHAIRMAN AND PRESIDENT |
| Signature Date | 2/5/19 |
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