FORM 1023-EZ for YOUTH ENGAGEMENT SERVICES

Field Data
EIN 82-1547563
Case Number EO-2017139-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUTH ENGAGEMENT SERVICES
Organization’s Mailing Address 5309 DESERT SAND PL NW
City ALBUQUERQUE
State NM
ZIP 87120
Accounting period End 12
Primary contact name ROBERT ZAJAC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT ZAJAC
PRESIDENT
5309 DESERT SAND PL NW
ALBUQUERQUE NM 87120

Officer/Director/Trustee Two

BERNADETTE BANKS
VICE PRESIDENT
5309 DESERT SAND PL NW
ALBUQUERQUE NM 87120

Officer/Director/Trustee Three

DAMIAN BANKS BANKS
TREASURER
8004 PONY HILLS PL NW
ALBUQUERQUE NM 87120

Officer/Director/Trustee Four

ROBERT ROMERO
OFFICER
1512 BLUE SPRUCE DR NE
RIO RANCHO NM 87144

Officer/Director/Trustee Five

RICKEY KITCH
SECRETARY
14 CALLE DEL MEDIA
TIJERAS NM 87059

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2017
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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