FORM 1023-EZ for HEMPSTEAD COUNTY YOUTH LEADERSHIP COUNCIL

Field Data
EIN 81-4547405
Case Number EO-2016337-000442
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEMPSTEAD COUNTY YOUTH LEADERSHIP COUNCIL
Organization’s Mailing Address 1819 SOUTH MAIN ST
City HOPE
State AR
ZIP 71801
Accounting period End 12
Primary contact name JOSHUA D WATERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESTER SITZES
DIRECTOR
1819 SOUTH MAIN ST
HOPE AR 71801

Officer/Director/Trustee Two

KAREN SMITH
DIRECTOR
4703 HEMPSTEAD 3
HOPE AR 71801

Officer/Director/Trustee Three

KEENAN WILLIAMS
DIRECTOR
401 SOUTH PINE
HOPE AR 71801

Officer/Director/Trustee Four

PEGGY WILLIAMS
DIRECTOR
401 SOUTH PINE
HOPE AR 71801

Officer/Director/Trustee Five

ED FLAGG
DIRECTOR
340 HEMPSTEAD 217
HOPE AR 71801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2012
Organization Incorporation State AR
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: 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 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
Signature Title
Signature Date

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