FORM 1023-EZ for UNIQUE PUSH MENTOR ORIGANIZATION INC

Field Data
EIN 84-4404277
Case Number EO-2021097-001241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNIQUE PUSH MENTOR ORIGANIZATION INC
Organization’s Mailing Address 306 WILLOW BAY DRIVE
City BYRAM
State MS
ZIP 39272
Accounting period End 12
Primary contact name SHAMONICA HAMILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAMONICA HAMILTON
PRESIDENT/DIRECTOR
306 WILLOW BAY DRIVE
BYRAM MS 39272

Officer/Director/Trustee Two

ROBYN BLOOM
VICE PRESIDENT/DIRECTOR
PO BOX 97391
PEARL MS 39288

Officer/Director/Trustee Three

JASMINE DAVIS
SECRETARY/DIRECTOR
2321 ERNIE MARTIN ROAD
UTICA MS 39046

Officer/Director/Trustee Four

KANESHA SHERIFF
TREASURER/DIRECTOR
500 SOUTH UNION STREET
CANTON MS 39046

Organization’s website
Organization’s email UNIQUEPUSH@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2019
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 SHAMONICA HAMILTON
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/15/2021

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