FORM 1023-EZ for MIKES YOUTH POSITIVE CHANGE

Field Data
EIN 82-4797511
Case Number EO-2018078-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIKES YOUTH POSITIVE CHANGE
Organization’s Mailing Address 105 CHAPEL HILL DRIVE
City DESOTO
State TX
ZIP 75115
Accounting period End 12
Primary contact name SANDRA JONES CAF NUMBER 031219940R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL JOHNSON
PRESIDENT/CEO/DIRECTOR
105 CHAPEL HILL DRIVE
DESOTO TX 75115

Officer/Director/Trustee Two

WILMA DAVID MAY
DIRECTOR
105 CHAPEL HILL DRIVE
DESOTO TX 75115

Officer/Director/Trustee Three

VERA DAVIS
DIRECTOR
105 CHAPEL HILL DRIVE
DESOTO TX 75115

Officer/Director/Trustee Four

SHIRLEY JONES
DIRECTOR/SECRETARY
105 CHAPEL HILL DRIVE
DESOTO TX 75115

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
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 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 MICHAEL JOHNSON
Signature Title PRESIDENT/CEO/DIRECTOR
Signature Date 3/15/18

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