FORM 1023-EZ for MENTOR AGENCY

Field Data
EIN 82-0991575
Case Number EO-2017100-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MENTOR AGENCY
Organization’s Mailing Address 9223 TOOLEY DRIVE
City HOUSTON
State TX
ZIP 77031-1114
Accounting period End 2
Primary contact name MICHAEL EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL EVANS
PRESIDENT TREASURER
9223 TOOLEY DRIVE
HOUSTON TX 77031-1114

Officer/Director/Trustee Two

MARNEY CALDWELL
SECRETARY
8815 FERRIS DRIVE
HOUSTON TX 77096

Officer/Director/Trustee Three

HOWARD HENDRIX
VICE-PRESIDENT
9215 ILONA
HOUSTON TX 77025

Organization’s website
Organization’s email MENTORALL@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 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 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
Signature Title
Signature Date

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