FORM 1023-EZ for A1 YOUTH AND FAMILY SERVICES INC

Field Data
EIN 86-3880706
Case Number EO-2021154-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A1 YOUTH AND FAMILY SERVICES INC
Organization’s Mailing Address 614 EAST 51 STREET
City HIALEAH
State FL
ZIP 33013
Accounting period End 12
Primary contact name MICHAEL SALEM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGELIO VELOZ
PRESIDENT
614 EAST 51 STREET
HIALEAH FL 33013

Officer/Director/Trustee Two

SUSAN VELOZ
SECRETARY
614 EAST 51 STREET
HIALEAH FL 33013

Officer/Director/Trustee Three

MICHAEL SALEM
TREASURER
614 EAST 51 STREET
MIAMI LAKES FL 33013

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 ROGELIO VELOZ
Signature Title PRESIDENT
Signature Date 6/1/2021

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