FORM 1023-EZ for BALM YOUTH FOUNDATION INC

Field Data
EIN 45-2845417
Case Number EO-2016049-000161
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BALM YOUTH FOUNDATION INC
Organization’s Mailing Address 625 W 39TH PL APT 9A
City HOBART
State IN
ZIP 46342-2205
Accounting period End 12
Primary contact name SAENOVIA L NEWLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAENOVIA NEWLAND
PRESIDENT, COO, ADMINISTRATOR
625 W 39 TH PL APT 9A
HOBART IN 46342-7744

Officer/Director/Trustee Two

NYESHA CABS
VICE PRESIDENT, CEO, ADMINISTRATOR
18772 E HAMILTON DR
AURORA CO 80013-9017

Officer/Director/Trustee Three

XANTHA MURRAY
TREASURER, CFO, ACCOUNTANT
15402 E ARIZONA AVE UNIT 306
AURORA CO 80017-4810

Officer/Director/Trustee Four

TYLER CABS
SECRETARY
18772 E HAMILTON DR
AURORA CO 80013-9017

Officer/Director/Trustee Five

DIONNA HARDING
DIRECTOR
18772 E HAMILTON DR
AURORA CO 80013-9017

Organization’s website N/A
Organization’s email SAENOVIA.BALM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2015
Organization Incorporation State IN
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: Yes
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 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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