FORM 1023-EZ for UNITING YOUTH IN CRISIS INC

Field Data
EIN 27-0314738
Case Number EO-2017283-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNITING YOUTH IN CRISIS INC
Organization’s Mailing Address 16 WILLOW STREET PO BOX 294
City PEPPERELL
State MA
ZIP 01463-0294
Accounting period End 12
Primary contact name GAIL HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAIL HOLLAND
PRESIDENT/MANAGING DIRECTOR
PO BOX 294
PEPPERELL MA 01463-0294

Officer/Director/Trustee Two

LISA RICHARD
TREASURER/DIRECTOR
28 BROOKLINE STREET
PEPPERELL MA 01463

Officer/Director/Trustee Three

DONNA PLOURDE
SECRETARY/DIRECTOR
67 TRESTLE BROOK DRIVE
NASHUA NH 03062

Officer/Director/Trustee Four

LINA TO
DIRECTOR
8 MARANDA STREET
WORCESTER MA 01604

Organization’s website UNITINGYOUTHINCRISIS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2014
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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