FORM 1023-EZ for LA YOUTH AND FAMILY ENRICHMENT SERVICES

Field Data
EIN 83-1826301
Case Number EO-2018254-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LA YOUTH AND FAMILY ENRICHMENT SERVICES
Organization’s Mailing Address PO BOX 1184
City LEWISTON
State ME
ZIP 4243
Accounting period End 12
Primary contact name SIAD SHALEH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIAD SHALEH
PRESIDENT
38 TALL PINES DRIVE
LEWISTON ME 4240

Officer/Director/Trustee Two

MOHAMED YAROW
VICE PRESIDENT
107 PIERCE ST
LEWISTON ME 4240

Officer/Director/Trustee Three

ABDISALAT MOHAMED
TREASURER
109 STRAWBERRY AVE
LEWISTON ME 4240

Officer/Director/Trustee Four

AHMED ALASOW
SECRETARY
167 BARTLETT ST
LEWISTON ME 4240

Officer/Director/Trustee Five

OSMAN BASHIR
BOARD MEMBER
15 HOWARD ST
LEWISTON ME 4240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/18
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 SIAD SHALEH
Signature Title PRESIDENT
Signature Date 9/9/18

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