FORM 1023-EZ for ROSE CITY YOUTH ASSISTANCE INCORPORATED

Field Data
EIN 47-5032850
Case Number EO-2016118-000291
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROSE CITY YOUTH ASSISTANCE INCORPORATED
Organization’s Mailing Address 200 N BECKHAM AVE OFFICE 217
City TYLER
State TX
ZIP 75702
Accounting period End 12
Primary contact name TOMORA BOYD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TOMORA BOYD
DIRECTOR
1506 N PEGUES
TYLER TX 75702

Officer/Director/Trustee Two

DEMARCUS BAILEY
BOARD MEMBER
1827 EASY
TYLER TX 75702

Officer/Director/Trustee Three

RICKY GARNER
BOARD MEMBER
PO BOX 120402
TYLER TX 75712

Officer/Director/Trustee Four

DALIA REYNOSO GONZALES
BOARD MEMBER
211 W SHAW
TYLER TX 75701

Officer/Director/Trustee Five

DIKISHA SMITH-LEWIS
BOARD MEMBER
PO BOX 7784
TYLER TX 75711

Organization’s website
Organization’s email TBOYD635@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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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