FORM 1023-EZ for YOUTH EMPOWERMENT SERVICES IN MEDICINE - YES IM

Field Data
EIN 84-3934330
Case Number EO-2020055-000742
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUTH EMPOWERMENT SERVICES IN MEDICINE - YES IM
Organization’s Mailing Address 4615 47TH AVENUE
City WOODSIDE
State NY
ZIP 11377
Accounting period End 12
Primary contact name MAURICE HINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAURICE HINSON
FOUNDER BOARD PRESIDENT
4615 47TH AVENUE
WOODSIDE NY 11377

Officer/Director/Trustee Two

CHRIS GONZALEZ
BOARD OF DIRECTOR
212 E 106TH STREET
NEW YORK NY 10029

Officer/Director/Trustee Three

ALASSANE SOUMARE
BOARD OF DIRECTOR
625 VAN BUREN STREET
BROOKLYN NY 11221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 MAURICE HINSON
Signature Title FOUNDER BOARD PRESIDENT
Signature Date 2/21/2020

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