FORM 1023-EZ for DIABETIC YOUTH CONNECTION

Field Data
EIN 47-4359765
Case Number EO-2016116-000330
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIABETIC YOUTH CONNECTION
Organization’s Mailing Address 589 BINSCARTH RD
City LOS OSOS
State CA
ZIP 93402
Accounting period End 4
Primary contact name DEBORAH MORGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLY CHRISTOPHERSON
PRESIDENT
589 BINSCARTH RD
LOS OSOS CA 93402

Officer/Director/Trustee Two

DEBORAH MORGAN
TREASURER
22106 BALLINGER STREET
CHATTSWORTH CA 91311

Officer/Director/Trustee Three

SHANDI TIPTON
PUBLIC RELATIONS
5750 ST STEPHENS WAY
TEMPLETON CA 93465

Officer/Director/Trustee Four

DESSIRAE NANCE
RECORDER
2506 ATASCADERO RD
MORRO BAY CA 93442

Officer/Director/Trustee Five

BRIANNA GREENWAY
STUDENT AMBASSADOR
2001 CATHEDRAL CANYON COURT
PASO ROBLES CA 93446

Organization’s website DIABETICYOUTHCONNECTION.COM
Organization’s email DIABETICYOUTHCONNECTION@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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