FORM 1023-EZ for CORE YOUTH SERVICES INC

Field Data
EIN 45-5322896
Case Number EO-2014262-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CORE YOUTH SERVICES INC
Organization’s Mailing Address 6281 E 120TH COURT SUITE 400
City TULSA
State OK
ZIP 74137
Accounting period End 12
Primary contact name ROCKY HILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL PIERCE
DIRECTOR
6281 E 120TH COURT SUITE 400
TULSA OK 74137

Officer/Director/Trustee Two

ROCKY HILTON
DIRECTOR
6007 WEST 11TH PLACE
TULSA OK 74127

Officer/Director/Trustee Three

MICHELLE HILTON
DIRECTOR
6007 WEST 11TH PLACE
TULSA OK 74127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2012
Organization Incorporation State OK
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: Yes
Educational: Yes
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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