FORM 1023-EZ for THE MENTOR PROJECT INC

Field Data
EIN 83-4401851
Case Number EO-2019220-000150
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MENTOR PROJECT INC
Organization’s Mailing Address 38 CEDAR DRIVE
City GREAT NECK
State NY
ZIP 11021
Accounting period End 5
Primary contact name DEBORAH HEISER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH HEISER
CEO
38 CEDAR DRIVE
GREAT NECK NY 11021

Officer/Director/Trustee Two

ROBERT COUSINS
CTO
14330 CORDWOOD CT
SARATOGA CA 95070

Officer/Director/Trustee Three

IRENE YACHBES
CHIEF PRODUCT OFFICER
3 RUTLAND RD
GREAT NECK NY 11020

Organization’s website WWW.MENTORPROJECT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBORAH HEISER
Signature Title CEO
Signature Date 8/6/19

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