FORM 1023-EZ for EXCELLERATED YOUTH INC

Field Data
EIN 47-3863924
Case Number EO-2015127-000363
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EXCELLERATED YOUTH INC
Organization’s Mailing Address 2430 GRANADA CIRCLE EAST
City SAINT PETERSBURG
State FL
ZIP 33712-3918
Accounting period End 12
Primary contact name DWAYNE HUNT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DWAYNE HUNT
CHIEF EXECUTIVE OFFICER
2430 Granada Circle East
SAINT PETERSBURG FL 33712-3918

Officer/Director/Trustee Two

JEFF SMITH
DIRECTOR
11180 57TH AVE
SEMINOLE FL 33772-7220

Officer/Director/Trustee Three

BRIAN TAYLOR
DIRECTOR
2314 30TH ST S
SAINT PETERSBURG FL 33712-3340

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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