FORM 1023-EZ for VILLAGE COALITION OF YOUTH ACTIVITIES

Field Data
EIN 85-2228091
Case Number EO-2021092-000854
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VILLAGE COALITION OF YOUTH ACTIVITIES
Organization’s Mailing Address 5733 NW ALCAZAR TERRACE
City PORT SAINT LUCIE
State FL
ZIP 34986
Accounting period End 12
Primary contact name DOROTHY L MALIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABDULLAH MALIK
PRESIDENT
5733 NW ALCAZAR TERRACE
PORT ST. LUCIE FL 34987

Officer/Director/Trustee Two

DERINE DAVIS
VICE PRESIDENT
2701 AVENUE E
FORT PIERCE FL 34950

Officer/Director/Trustee Three

JAMES SMITH IV
TREASURER
11268 SW VILLAGE COURT APT 212
PORT SAINT LUCIE FL 34987

Organization’s website
Organization’s email QUEENDOROTHY@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
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 ABDULLAH MALIK
Signature Title PRESIDENT
Signature Date 2/25/2021

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