FORM 1023-EZ for FOUNTAIN YOUTH DEVELOPMENT CENTER

Field Data
EIN 90-0064496
Case Number EO-2020211-000286
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNTAIN YOUTH DEVELOPMENT CENTER
Organization’s Mailing Address 350 WILLIAM WALSTON LANE
City TARBORO
State NC
ZIP 27886
Accounting period End 12
Primary contact name SHIRLEY W MCNEIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRLEY MCNEIL
DIRECTOR
303 WILLIAM WALSTON LANE
TARBORO NC 27886

Officer/Director/Trustee Two

REGINA CANTEY
CHAIRPERSON
113 MATTS LN
PINETOPS NC 27864

Officer/Director/Trustee Three

ZENO JONES
TREASURER
350 WILLIAM WALSTON LANE
TARBORO NC 27886

Officer/Director/Trustee Four

TYNISHA MITCHELL
SECRETARY
350 WILLIAM WALSTON LANE
TARBORO NC 27886

Organization’s website FYDC.WEEBLY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/1999
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: No
Religious: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name SHIRLEY MCNEIL
Signature Title DIRECTOR
Signature Date 7/27/2020

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