FORM 1023-EZ for HOPE FOR YOUTH MENTORING DOUGLASVILLE INC

Field Data
EIN 84-2235647
Case Number EO-2019235-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOPE FOR YOUTH MENTORING DOUGLASVILLE INC
Organization’s Mailing Address 7089 ROSELAKE CIRCLE
City DOUGLASVILLE
State GA
ZIP 30134-1681
Accounting period End 12
Primary contact name MARY MAYNARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY MAYNARD
DIRECTOR
7089 ROSELAKE CIRCLE
DOUGLASVILLE GA 30134-1681

Officer/Director/Trustee Two

DAVID ACREMAN
TREASURER
800 PRITCHETT RD
DOUGLASVILLE GA 30134-4057

Officer/Director/Trustee Three

NANCY TYNER
VICE PRESIDENT
7149 BURNSIDE CT
VILLA RICA GA 30180-8617

Officer/Director/Trustee Four

DEBBIE WHITE
SECRETARY
7421 DOUGLAS BLVD SUITE N 521
DOUGLASVILLE GA 30135-9998

Officer/Director/Trustee Five

COREY BECKER
PRESIDENT
4888 W RIDGE DR
DOUGLASVILLE GA 30135-4525

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 MARY MAYNARD
Signature Title DIRECTOR
Signature Date 8/21/19

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