FORM 1023-EZ for MECHANICSVILLE SENIOR EMPOWERMENTORS INC

Field Data
EIN 87-1820116
Case Number EO-2021230-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MECHANICSVILLE SENIOR EMPOWERMENTORS INC
Organization’s Mailing Address 248 DODD AVENUE
City ATLANTA
State GA
ZIP 30315
Accounting period End 6
Primary contact name JANE RIDLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANE RIDLEY
FOUNDER-MEMBER
248 DODD AVENUE SW
ATLANTA GA 30315-0060

Officer/Director/Trustee Two

BERNICE BROWN
CHAIR
248 DODD AVENUE SWA
ATLANTA GA 30315-0060

Officer/Director/Trustee Three

EVELYN CLEMMONS
TREASURER
248 DODDAVENUE SW
ATLANTA GA 30315-0060

Officer/Director/Trustee Four

SHEILA CLARK
SECRETARY
248 DODD AVENUE SW
ATLANTA GA 30315-0060

Officer/Director/Trustee Five

LILLY BARNES
MEMBER
248 DODD AVENUE SW
ATLANTA GA 30315-0060

Organization’s website
Organization’s email JHRIDLEY12@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 7/12/2021
Organization Incorporation State GA
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 No
Signature Name JANE RIDLEY
Signature Title FOUNDER-MEMBER
Signature Date 8/16/2021

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