FORM 1023-EZ for EUREKA MENTORSHIP

Field Data
EIN 83-3273528
Case Number EO-2019044-000250
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EUREKA MENTORSHIP
Organization’s Mailing Address P O BOX 2293
City NEWPORT NEWS
State VA
ZIP 23609
Accounting period End 12
Primary contact name HAYWOOD BARNES JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAYWOOD BARNES JR
PRESIDENT
189 BEECHMONT DR
NEWPORT NEWS VA 23608

Officer/Director/Trustee Two

MARK DOZIER
VICE PRESIDENT
2509 COLLEGE BLVD
NEWPORT NEWS VA 23606

Officer/Director/Trustee Three

SHELBY ESTRADA
SECRETARY
412 RIVERSRIDGE CIR
NEWPORT NEWS VA 23608

Officer/Director/Trustee Four

SHARON HEARN
TREASURER
350 JONATHAN CT
NEWPORT NEWS VA 23608

Officer/Director/Trustee Five

EMANUEL JACKSON
CHAPLIN/PARLIMENTARIAN
430 SUMMER DR
NEWPORT NEWS VA 23606

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 HAYWOOD BARNES JR
Signature Title PRESIDENT
Signature Date 2/11/19

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