FORM 1023-EZ for SHANGAZI MENTORING PROGRAM INC

Field Data
EIN 81-3468413
Case Number EO-2016221-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHANGAZI MENTORING PROGRAM INC
Organization’s Mailing Address 12057 TECH RD
City SILVER SPRING
State MD
ZIP 20904
Accounting period End 4
Primary contact name ASHLEY DEADWYLER-JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY DEADWYLER-JONES
PRESIDENT
11857 SCAGGSVILLE RD
FULTON MD 20759

Officer/Director/Trustee Two

NADEEN GALE
OFFICER
242 TROY AVENUE
BROOKLYN NY 11213

Officer/Director/Trustee Three

SHEENA TEMPLE
OFFICER
113 W 34TH ST
WILMINGTON DE 19802

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2016
Organization Incorporation State DE
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 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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