FORM 1023-EZ for PIECES TO PEACE IMPERFECT MENTORINGINC

Field Data
EIN 86-2970670
Case Number EO-2021132-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIECES TO PEACE IMPERFECT MENTORINGINC
Organization’s Mailing Address 2312 N G STREET
City PENSACOLA
State FL
ZIP 32501
Accounting period End 12
Primary contact name MARITA ELLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARITA ELLIS
PRESIDENT
2312 N G STREET
PENSACOLA FL 32501

Officer/Director/Trustee Two

JACINDA PETTIES
VICE PRESIDENT
12170 BOONE LANE
FAIRHOPE AL 36532

Officer/Director/Trustee Three

LYDIA COHEN
SECRETARY
1704 COREY WOOD CIRCLE
TALLAHASSEE FL 32304

Officer/Director/Trustee Four

TANYA SARGEON
TREASURER
5217 ALBERVAN STREET
SHAWNEE KS 66215

Organization’s website
Organization’s email PIECESTOPEACE35@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 MARITA ELLIS
Signature Title PRESIDENT
Signature Date 5/10/2021

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