FORM 1023-EZ for AYA INITIATIVES

Field Data
EIN 81-2995665
Case Number EO-2016295-000066
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AYA INITIATIVES
Organization’s Mailing Address 314 HOLLY RIDGE DRIVE
City GLENSHAW
State PA
ZIP 15116
Accounting period End 12
Primary contact name LISA THORPE-VAUGHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA THORPE-VAUGHN
PRESIDENT/CEO
314 HOLLY RIDGE DRIVE
GLENSHAW PA 15116

Officer/Director/Trustee Two

WAYNE COBB
TRUSTEE
3582 BROADHEAD ROAD SUITE 203
MONACA PA 15061

Officer/Director/Trustee Three

TRACEY MCCANTS-LEWIS
BOARD CHAIRPERSON
600 FORBES AVENUE
PITTSBURGH PA 15282

Officer/Director/Trustee Four

TYRA GOOD
BOARD MEMBER
1 WOODLAND ROAD
PITTSBURGH PA 15232

Officer/Director/Trustee Five

ROSEMARY CRAWFORD
BOARD MEMBER
POST OFFICE BOX 355
ALLISON PARK PA 15101

Organization’s website
Organization’s email AYAINITIATIVE@GMAIL.COM OR LISATHORPEVAUGHN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2016
Organization Incorporation State PA
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: No
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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