FORM 1023-EZ for LUCKY EIGHT BROTHERHOOD MENTORING

Field Data
EIN 46-5723231
Case Number EO-2015299-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LUCKY EIGHT BROTHERHOOD MENTORING
Organization’s Mailing Address PO BOX 931
City NEWPORT NEWS
State VA
ZIP 23607
Accounting period End 12
Primary contact name DEON HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEON HARRIS
PRESIDENT, FOUNDER
624 29TH STREET
NEWPORT NEWS VA 23607

Officer/Director/Trustee Two

JAMES JENKINS
1ST VICE PRESIDENT
1942 BEALL DRIVE
HAMPTON VA 23663

Officer/Director/Trustee Three

NATE BARNES
2ND VICE PRESIDENT
1305 MYERS ROAD
NORFOLK VA 23513

Officer/Director/Trustee Four

TERRY SHEPPARD
SARGEANT AT ARMS
804 DANA RAE COURT
NEWPORT NEWS VA 23605

Officer/Director/Trustee Five

LARRY ORIE
SECRETARY / TREASURER
13 MALLARD RUN
HAMPTON VA 23669

Organization’s website WWW.LUCKY8MENTORING.ORG
Organization’s email LUCKY8MENTORING@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2014
Organization Incorporation State VA
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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