FORM 1023-EZ for HOLLY AREA YOUTH ASSISTANCE

Field Data
EIN 38-2242674
Case Number EO-2016090-000507
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLLY AREA YOUTH ASSISTANCE
Organization’s Mailing Address 920 BAIRD ST
City HOLLY
State MI
ZIP 48442-1735
Accounting period End 12
Primary contact name LINDA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTINE ALVARADO
PRESIDENT
17088 FISH LAKE RD
HOLLY MI 48442

Officer/Director/Trustee Two

BARBARA MYERS
SECRETARY
940 E MAPLE RD
HOLLY MI 48442

Officer/Director/Trustee Three

LINDA SMITH
TREASURER
6190 E HOLLY RD
HOLLY MI 48442

Officer/Director/Trustee Four

DIANE HOWELL
CO-TREASURER
3930 BALD EAGLE LAKE RD
HOLLY MI 48442

Officer/Director/Trustee Five

DEBRA MUSGRAVE
VICE PRESIDENT
103 RAILROAD
HOLLY MI 48442

Organization’s website
Organization’s email HOLLYAREAYOUTHASSISTANCE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/1994
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
Organization’s purpose Charitable: No
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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