FORM 1023-EZ for EXTRAORDINARY YOUTH PROGRAM INC

Field Data
EIN 83-1139706
Case Number EO-2018218-000513
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXTRAORDINARY YOUTH PROGRAM INC
Organization’s Mailing Address 403 SOUTH STATELINE ROAD
City SHARON
State PA
ZIP 16146
Accounting period End 12
Primary contact name JEFFREY T PORTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY PORTER
CEO/TREASURE
403 SOUTH STATELINE ROAD
SHARON PA 16146

Officer/Director/Trustee Two

RANDY BOND
PRESIDENT
1611 STRUBLE AVENUE N E
CANTON OH 44705

Officer/Director/Trustee Three

PORTIA SHEPHARD
SECRETARY
2910 CROSSWHITE DRIVE
HERMITAGE PA 16148

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 JEFFREY PORTER
Signature Title CEO/TREASURE
Signature Date 8/2/18

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