FORM 1023-EZ for ELEVATED YOUTH INCORPORATED

Field Data
EIN 83-1455416
Case Number EO-2019246-000282
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELEVATED YOUTH INCORPORATED
Organization’s Mailing Address 12 WOODMONT CT
City STAFFORD
State VA
ZIP 22554
Accounting period End 12
Primary contact name NICOLE CARROLL HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE CARROLL HILL
PRESIDENT
12 WOODMONT CT
STAFFORD VA 22554

Officer/Director/Trustee Two

TONI HOMESLEY
SECRETARY
4 NEWBURY DRIVE
STAFFORD VA 22556

Officer/Director/Trustee Three

KASSIE EVERETT-CARROLL
TREASURER
912 VAN AVE APT 333
DAPHNE AL 36526

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 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 NICOLE CARROLL HILL
Signature Title PRESIDENT
Signature Date 8/30/19

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