FORM 1023-EZ for M I YOUTH AND FAMIY SERVICES

Field Data
EIN 47-1726738
Case Number EO-2014272-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name M I YOUTH AND FAMIY SERVICES
Organization’s Mailing Address 5318 EAST SECOND STREET PO BOX 700
City LONG BEACH
State CA
ZIP 90803
Accounting period End 12
Primary contact name BARBARA MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA MARTINEZ
CHAIR
5669 SORRENTO DR
LONG BEACH CA 90803

Officer/Director/Trustee Two

DEVON IVEY
VICE CHAIR
3118 PALO VERDE
LONG BEACH CA 92698

Officer/Director/Trustee Three

MICHAEL MARTINEZ
TREASURER
5669 SORRENTO DR
LONG BEACH CA 90803

Officer/Director/Trustee Four

PETA-GAY BIHBSSON
SECRETARY
5105 EAST WOODWIND LANE
ANAHEIM CA 92870

Officer/Director/Trustee Five

PETER ODIO
ASSISTANT SECRETARY
1347 1ST STREET
MANHATTAN BEACH CA 90266

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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