FORM 1023-EZ for I SUPPORT YOUTH INC

Field Data
EIN 81-0888434
Case Number EO-2016034-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name I SUPPORT YOUTH INC
Organization’s Mailing Address 1919 44TH STREET SOUTH
City ST PETERSBURG
State FL
ZIP 33711
Accounting period End 12
Primary contact name ASHEN KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELVERT STEPHENS
EXECUTIVE DIRECTOR
1919 44TH STREET SOUTH
ST PETERSBURG FL 33711

Officer/Director/Trustee Two

ASHEN KING
PRESIDENT
25 NORTH BELCHER ROAD UNIT F61
CLEARWATER FL 33765

Officer/Director/Trustee Three

WILLIAM HAZELLIEF
VICE PRESIDENT
1228 57TH AVENUE NORTH
ST PETERSBURG FL 33703

Officer/Director/Trustee Four

KRISTINA HOLLINGSWORTH
SECRETARY
4528 9TH AVENUE SOUTH
ST PETERSBURG FL 33711

Officer/Director/Trustee Five

CHARLES JENKINS
TREASURER
2125 62ND AVENUE SOUTH UNIT 8
ST PETERSBURG FL 33712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2015
Organization Incorporation State FL
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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