FORM 1023-EZ for OMEGA MENTORING PROGRAM INC

Field Data
EIN 90-0416568
Case Number EO-2015154-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OMEGA MENTORING PROGRAM INC
Organization’s Mailing Address 425 WILCOX STREET UNIT 617
City CHARLOTTE
State NC
ZIP 28203
Accounting period End 12
Primary contact name JOHNNY WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHNNY WALKER
DIRECTOR
425 WILCOX ST UNIT 617
CHARLOTTE NC 28203

Officer/Director/Trustee Two

TONY SANFORD
TREASURER
425 WILCOX ST UNIT 617
CHARLOTTE NC 28203

Officer/Director/Trustee Three

MICHAEL RANDALL
BOARD MEMBER
425 WILCOX ST UNIT 617
CHARLOTTE NC 28203

Organization’s website
Organization’s email OMEGAMENTORINGGA@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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
Signature Title
Signature Date

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