FORM 1023-EZ for YOUTH EMPOWERMENT SUCCESS SERVICES

Field Data
EIN 81-0689148
Case Number EO-2016005-000146
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUTH EMPOWERMENT SUCCESS SERVICES
Organization’s Mailing Address 311 TOCCOA PL
City JONESBORO
State GA
ZIP 30236
Accounting period End 12
Primary contact name LENARD HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LENARD HARRIS
OFFICER
501 HWY 138 SE- SUITE 1
RIVERDALE GA 30274

Officer/Director/Trustee Two

SHELTON LAND
OFFICER
130 SUSAN WAY
MACON GA 31216

Officer/Director/Trustee Three

NATTLIE RINGER
OFFICER
3808 KINDERLOU TRACE
HAMPTON GA 30228

Officer/Director/Trustee Four

TENIKA COPELAND
OFFICER
4437 HICKORY POINT
ELLENWOOD GA 30294

Officer/Director/Trustee Five

JEANETTE LYONS
OFFICER
8006 S KIMBARK AVE
CHICAGO GA 60619

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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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