FORM 1023-EZ for DOLLAR YOUTH INITIATIVE

Field Data
EIN 86-2885419
Case Number EO-2021099-000701
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOLLAR YOUTH INITIATIVE
Organization’s Mailing Address 4616 25TH AVENUE NE STE 382
City SEATTLE
State WA
ZIP 98105-4183
Accounting period End 12
Primary contact name CAMERON DOLLAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMERON DOLLAR
DIRECTOR
6052 25TH AVE NE
SEATTLE WA 98115

Officer/Director/Trustee Two

DERYL BAILEY
DIRECTOR
1931 ABERDEEN PLACE SE
RENTON WA 92109

Officer/Director/Trustee Three

WILL DORSEY
DIRECTOR
4206 GREENBELT STATION DRIVE
SEATTLE WA 98118

Officer/Director/Trustee Four

MAUREEN DOLLAR
OFFICER
6052 25TH AVE NE
SEATTLE WA 98115

Officer/Director/Trustee Five

TREVOR WADE
OFFICER
960 TENTH STREET APT 5
SANTA MONICA CA 90403

Organization’s website WWW.DOLLARYOUTHINITIATIVE.ORG
Organization’s email DOLLARYOUTHINITIATIVE@GMAIL.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2021
Organization Incorporation State WA
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: 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 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 CAMERON DOLLAR
Signature Title DIRECTOR
Signature Date 3/29/2021

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