FORM 1023-EZ for NEW LIFE YOUTH FOUNDATION

Field Data
EIN 47-2925583
Case Number EO-2018218-000527
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW LIFE YOUTH FOUNDATION
Organization’s Mailing Address 4507 PACIFIC STREET SW
City LAKEWOOD
State WA
ZIP 98499
Accounting period End 12
Primary contact name HERMAN AKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HERMAN AKINS
PRESIDENT
4507 PACIFIC STREET SW
LAKEWOOD WA 98499

Officer/Director/Trustee Two

ESSIE CAMPBELL-DEDEAUX
VICE PRESIDENT
4507 PACIFIC STREET SW
LAKEWOOD WA 98499

Officer/Director/Trustee Three

ALETHA CONCEPION
SECRETARY
4507 PACIFIC STREET SW
LAKEWOOD WA 98499

Officer/Director/Trustee Four

DELORES AKINS
BOARD MEMBER
4507 PACIFIC STREET SW
LAKEWOOD WA 98499

Officer/Director/Trustee Five

LATONYA CARROLL
BOARD MEMBER
4507 PACIFIC STREET SW
LAKEWOOD WA 98499

Organization’s website WWW.NEWLIFEYOUTHFOUNDATION.ORG
Organization’s email NEWLIFEFOUNDATIONWA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/14
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 No
One Third Support Gifts No
Benefit of College Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HERMAN AKINS
Signature Title PRESIDENT
Signature Date 8/2/18

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