FORM 1023-EZ for FOSTERING YOUTH INDEPENDENCE

Field Data
EIN 82-1034101
Case Number EO-2017111-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOSTERING YOUTH INDEPENDENCE
Organization’s Mailing Address 8484 WILSHIRE BLVD SUITE 660
City BEVERLY HILLS
State CA
ZIP 90211
Accounting period End 12
Primary contact name CAROLYN OLSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINA STEVENS
CHIEF EXECUTIVE OFFICER
8484 WILSHIRE BLVD SUITE 660
BEVERLY HILLS CA 90211

Officer/Director/Trustee Two

CAROLYN OLSEN
CHIEF FINANCIAL OFFICER
8484 WILSHIRE BLVD SUITE 660
BEVERLY HILLS CA 90211

Officer/Director/Trustee Three

STACEY ANTON
SECRETARY
8484 WILSHIRE BLVD SUITE 660
BEVERLY HILLS CA 90211

Officer/Director/Trustee Four

TESS COZINE
DIRECTOR
8484 WILSHIRE BLVD SUITE 660
BEVERLY HILLS CA 90211

Organization’s website FYIFOSTERYOUTH.ORG
Organization’s email COLSEN@FYIFOSTERYOUTH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2017
Organization Incorporation State CA
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: 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 Yes
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
Signature Title
Signature Date

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