FORM 1023-EZ for A-TEAM YOUTH OF INTEGRITY INC

Field Data
EIN 81-0972934
Case Number EO-2016176-000080
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A-TEAM YOUTH OF INTEGRITY INC
Organization’s Mailing Address 354 E REEHILL ST
City LECANTO
State FL
ZIP 34461
Accounting period End 12
Primary contact name VIRGINIA HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VIRGINIA SMITH HILL
P
354 E REEHILL ST
LECANTO FL 34461

Officer/Director/Trustee Two

JEREMIAH A SMITH
1VP
550 S E 2ND AVE G3
DEERFIELD FL 33441

Officer/Director/Trustee Three

SIERRA S KING SMITH
2VP
550 S E 2ND AVE G3
DEERFIELD FL 33441

Officer/Director/Trustee Four

JERRYDENE GIBBONS
T
861 WYOMING AVE
FT LAUDERDALE FL 33312

Officer/Director/Trustee Five

LORRAINE OLDRIDGE
S
3730 N W 9TH ST
FORT LAUDERDALE FL 33311

Organization’s website
Organization’s email TRUDIE52@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
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 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
Signature Title
Signature Date

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