FORM 1023-EZ for YOUTH STAY SUPPLIED INCORPORATED

Field Data
EIN 83-2610397
Case Number EO-2020258-000392
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUTH STAY SUPPLIED INCORPORATED
Organization’s Mailing Address 10512 JOYCETON DRIVE
City UPPER MARLBORO
State MD
ZIP 20774
Accounting period End 11
Primary contact name DOTTIE CHICQUELO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOTTIE CHICQUELO
CEO AND PRESIDENT
10512 JOYCETON DRIVE
UPPER MARLBORO MD 20774

Officer/Director/Trustee Two

CATRICE COOKE
VICE PRESIDENT
15040 EMBER SPRING CIRCLE
ORLANDO FL 32821

Officer/Director/Trustee Three

SHAUNDA BELLAMY
SECRETARY
9701 APOLLO DRIVE NUMBER 301
LARGO MD 20774

Officer/Director/Trustee Four

EDITH PERRY
TREASURER
1904 SAHARA LANE
MITCHELLVILLE MD 20721

Officer/Director/Trustee Five

BRIAN SMITH
RESIDENT AGENT
14625 BALTIMORE AVENUE NUMBER 284
LAUREL MD 20707

Organization’s website
Organization’s email YOUTHSS1@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2018
Organization Incorporation State MD
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: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Correctness Declaration Yes
Signature Name DOTTIE CHICQUELO
Signature Title CEO AND PRESIDENT
Signature Date 9/10/2020

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