FORM 1023-EZ for GAP YOUTH MENTORING INITIATIVE

Field Data
EIN 47-5468558
Case Number EO-2016193-000573
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GAP YOUTH MENTORING INITIATIVE
Organization’s Mailing Address 812 PHILADELPHIA PIKE SUITE E
City BELLEFONTE
State DE
ZIP 19809-2372
Accounting period End 12
Primary contact name LATAYSHA HARMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATAYSHA HARMON
CHIEF EXECUTIVE OFFICER
812 PHILADELPHIA PIKE SUITE E
BELLEFONTE DE 19809-2372

Officer/Director/Trustee Two

TASHAE PINDER
SECRETARY
812 PHILADELPHIA PIKE SUITE E
BELLEFONTE DE 19809-2372

Officer/Director/Trustee Three

FLORENCE RALLS
TREASURER
812 PHILADELPHIA PIKE SUITE E
BELLEFONTE DE 19809-2372

Organization’s website
Organization’s email 4VRGAP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2016
Organization Incorporation State DE
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 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
Signature Title
Signature Date

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