FORM 1023-EZ for INSPIRING YOUNG ROLE MODEL FOR EMPOWERMENT

Field Data
EIN 16-1754680
Case Number EO-2015007-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INSPIRING YOUNG ROLE MODEL FOR EMPOWERMENT
Organization’s Mailing Address 12 RAYNOR CIRCLE
City ROXBURY
State MA
ZIP 02120
Accounting period End 10
Primary contact name VASHTI MASSAQUOI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VASHTI MASSAQUOI
PRESIDENT
12 RAYNOR CIRCLE
ROXBURY MA 02120

Officer/Director/Trustee Two

STANLEY BADEN
TREASURE
38 DALE ST
ROXBURY MA 02119

Officer/Director/Trustee Three

AYANNA OBRIEN
SECRETARY
1593 DORCHESTER AVE
DORCHESTER MA 02124

Officer/Director/Trustee Four

ELISE SHARRA HAMILTON
ASSISTANT CLERK
119 TONAWANDA ST
DORCHESTER MA 02124

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2012
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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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