FORM 1023-EZ for SQUARE PEG YOUTH EMPOWERMENT

Field Data
EIN 82-2075633
Case Number EO-2019029-000784
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SQUARE PEG YOUTH EMPOWERMENT
Organization’s Mailing Address 3100 MOUNTAIN AVENUE
City EL PASO
State TX
ZIP 79930
Accounting period End 12
Primary contact name MELODY GOMEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELODY GOMEZ
PRESIDENT
3100 MOUNTAIN AVE
EL PASO TX 79930

Officer/Director/Trustee Two

DENISE MOORE
TREASURER
105 COMERCIANTES APT 117
SANTA TERESA TX 88008

Officer/Director/Trustee Three

NATALIE VALENZUELA
SECRETARY
1236 LA CRUZ
EL PASO TX 79902

Officer/Director/Trustee Four

CELESTE PARROTT
MEMBER AT LARGE
3240 VOGUE
EL PASO TX 79935

Officer/Director/Trustee Five

YOLANDA SUPERSAD
MEMBER AT LARGE
PO BOX 616
WILLIAMSON NY 14589

Organization’s website SQUARE-PEG-YOUTH.ORG
Organization’s email SQUARE.PEG.YOUTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 MELODY GOMEZ
Signature Title PRESIDENT
Signature Date 12/19/18

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