FORM 1023-EZ for ADULTS ACTIVE IN YOUTH DEVELOPMENT

Field Data
EIN 35-2237795
Case Number EO-2016298-000379
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADULTS ACTIVE IN YOUTH DEVELOPMENT
Organization’s Mailing Address 21348 KILDARE AVENUE
City MATTESON
State IL
ZIP 60443
Accounting period End 12
Primary contact name SHAWNTINA MATTHEWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCUS MATTHEWS
PRESIDENT
16335 S HARLEM
TINLEY PARK IL 60477

Officer/Director/Trustee Two

SHAWNTINA MATTHEWS
TREASURER
16335 S HARLEM
TINLEY PARK IL 60477

Officer/Director/Trustee Three

DELORES MATTHEWS
SECRETARY
21348 KILDARE AVENUE
MATTESON IL 60443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2004
Organization Incorporation State IL
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: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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