FORM 1023-EZ for YOUTH DEVELOPMENT ATHLETIC FOUNDATION

Field Data
EIN 82-2284372
Case Number EO-2018075-000141
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUTH DEVELOPMENT ATHLETIC FOUNDATION
Organization’s Mailing Address 19500 NW 1ST AVENUE SUITE 102
City MIAMI
State FL
ZIP 33169
Accounting period End 12
Primary contact name EDWINS CHARLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GUY VALCOURT
PRESIDENT
574 COOL WEATHER DR
LAWRENCEVILLE GA 30045

Officer/Director/Trustee Two

ELIASSAINT TELFORT
TREASURER
3747 GALT PLACE
DOUGLASVILLE GA 30135

Officer/Director/Trustee Three

EDWINS CHARLES
SECRETARY
19500 NW 1ST AVE
MIAMI FL 33169

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/17
Organization Incorporation State FL
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: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 EDWINS CHARLES
Signature Title SECRETARY
Signature Date 3/14/18

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