FORM 1023-EZ for URBAN STUDENTS OF AMERICA INC

Field Data
EIN 82-5024248
Case Number EO-2018115-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name URBAN STUDENTS OF AMERICA INC
Organization’s Mailing Address 21 CHRISMAR RD
City PORTAGE
State IN
ZIP 46368
Accounting period End 12
Primary contact name TIANA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIANA JOHNSON
PRESIDENT, DIRECTOR
21 CHRISMAR RD
PORTAGE IN 46368

Officer/Director/Trustee Two

DARNELL JOHNSON
SECRETARY, DIRECTOR
21 CHRISMAR RD
PORTAGE IN 46368

Officer/Director/Trustee Three

PATRICK MCKEE
TREASURER, DIRECTOR
360 HOVEY ST
GARY IN 46406

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/18
Organization Incorporation State IN
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: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 TIANA JOHNSON
Signature Title PRESIDENT, DIRECTOR
Signature Date 4/23/18

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