FORM 1023-EZ for LIONHEART YOUTH OUTREACH INCORPORATED

Field Data
EIN 82-1291124
Case Number EO-2017237-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIONHEART YOUTH OUTREACH INCORPORATED
Organization’s Mailing Address PO BOX 54
City BERLIN
State MD
ZIP 21811
Accounting period End 12
Primary contact name CHRISTOPHER N ARCHIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER ARCHIE
CEO/PRESIDENT
300 FLOWER STREET
BERLIN MD 21811

Officer/Director/Trustee Two

TEKAHNANNA HALL-HARRIS
SECRETARY/TREASURER
19142 POTOMAC CREST DRIVE
TRIANGLE VA 22172

Officer/Director/Trustee Three

EDWARD JOHNSON
BOARD MEMBER
2937 ROTTERDAM LOOP
WOODBRIDGE VA 22191

Officer/Director/Trustee Four

DESHAPRECA ROBINSON
BOARD MEMBER
3360 POST OFFICE ROAD 7533
WOODBRIDGE VA 22195

Officer/Director/Trustee Five

DIKUYI NSEKELA
BOARD MEMBER
7105 ITTE LANE
SPRINGFIELD VA 22150

Organization’s website HTTP://LIONHEARTYOUTHOUTREACHINC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2017
Organization Incorporation State MD
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 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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