FORM 1023-EZ for TOMMIE SMITH YOUTH INITIATIVE INC -TSYI

Field Data
EIN 46-1353846
Case Number EO-2015331-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOMMIE SMITH YOUTH INITIATIVE INC -TSYI
Organization’s Mailing Address 1800 LILBURN STONE MOUNTAIN ROAD
City STONE MOUNTAIN
State GA
ZIP 30087
Accounting period End 12
Primary contact name DELOIS SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DELOIS SMITH
CEO
1800 LILBURN STONE MOUNTAIN ROAD
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

TOMMIE SMITH
CFO
1800 LILBURN STONE MOUNTAIN ROAD
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Three

KENYA JORDAN
TREASURY
837 SANTONA CT
PERRIS CA 92571

Officer/Director/Trustee Four

TRACYLYNN SINGLEY
SECRETARY
2896 EAST VIA TERRANO
ONTARIO CA 91764

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2012
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 No
Unrelated Gross Income $1,000 or More Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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