FORM 1023-EZ for COMMUNITY YOUTH LEARNING IN ACTIONINC

Field Data
EIN 83-2008133
Case Number EO-2020209-000910
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY YOUTH LEARNING IN ACTIONINC
Organization’s Mailing Address 14112 LAKE CROSSING DR
City CHARLOTTE
State NC
ZIP 28278
Accounting period End 1
Primary contact name ARTHUR JOHNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARTHUR JOHNS
DIRECTOR
14112 LAKE CROSSING DR
CHARLOTTE NC 28278

Officer/Director/Trustee Two

MITCHELL RIVERS
PRESIDENT
1301 VASSER PLACE
CHARLOTTE NC 28216

Officer/Director/Trustee Three

MARCIA BLACK
SEC
4909 DELIVAU DR
CHARLOTTE NC 28215

Officer/Director/Trustee Four

WANDA HAMILTON
TREAS
729 N RODEY AVE
CHARLOTTE NC 28206

Officer/Director/Trustee Five

COREY MAY
VP
1244 DUNCAN GARDENS DR
CHAROLTTE NC 28206

Organization’s website
Organization’s email EQMUSIC@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2018
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 ARTHUR JOHNS
Signature Title DIRECTOR
Signature Date 7/21/2020

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