FORM 1023-EZ for YOUTH WITH A MISSION VISION

Field Data
EIN 84-1631650
Case Number EO-2016062-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUTH WITH A MISSION VISION
Organization’s Mailing Address 1520 THOMAS H DELPIT
City BATON ROUGE
State LA
ZIP 60620-1253
Accounting period End 12
Primary contact name SHARON MICHELLE GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LORRI BALDWIN
PRESIDENT
8217 SOUTH PERRY
CHICAGO LA 60620-1253

Officer/Director/Trustee Two

CAROLYN BURRIS
V PRESIDENT
3003 HODGES
LAKE CHARLES LA 70601-8586

Officer/Director/Trustee Three

GEORGIA TRUSCLAIR
ACCOUNTANT
3425 ELM STREET
BATON ROUGE LA 70805-3319

Officer/Director/Trustee Four

JAPONICA DUNBAR
TREASURE
1506 SOUTH FLANNERY ROAD
BATON ROUGE LA 70816-1467

Officer/Director/Trustee Five

SHARON GREEN
CHIEF EXECUTIVE OFFICER
1320 WEST FAIRVIEW DRIVE
BATON ROUGE LA 70816-1467

Organization’s website YWAMV.ORG
Organization’s email YOUTHWITHAMISSIONVISION@YAHOO.VOM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2003
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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
Signature Title
Signature Date

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