FORM 1023-EZ for COMMUNITY YOUTH AND FAMILY SERVICES

Field Data
EIN 83-0594637
Case Number EO-2018169-000474
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY YOUTH AND FAMILY SERVICES
Organization’s Mailing Address 157 INVERNESS AVE
City NEWNAN
State GA
ZIP 30263-5472
Accounting period End 12
Primary contact name SHATAVIA HINTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHATAVIA HINTON
PRESIDENT
157 INVERNESS AVE
NEWNAN GA 30263-5472

Officer/Director/Trustee Two

GRETA DENNIS
SECRETARY
157 INVERNESS AVE
NEWNAN GA 30263-5472

Officer/Director/Trustee Three

DEBORAH HILL
TREASURER
157 IVERNESS AVE
NEWNAN GA 30260-5472

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHATAVIA HINTON
Signature Title PRESIDENT
Signature Date 6/13/18

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