FORM 1023-EZ for YOUNG MEN IN MOTION INC

Field Data
EIN 47-3895438
Case Number EO-2015127-000382
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUNG MEN IN MOTION INC
Organization’s Mailing Address 105 CATTAIL CT
City FAYETTEVILLE
State GA
ZIP 30215
Accounting period End 12
Primary contact name DESHAUN DUMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM LEWIS
CHAIR
227 HAMPTON SHORES DR
HAMPTON GA 30228

Officer/Director/Trustee Two

JILLIAN WALTON
CO-CHAIR
8222 CHAMPOIN TRAIL
FAIRBURN GA 30310

Officer/Director/Trustee Three

RANDALL CASTER
TREASURER
1627 STABLE PAR
CORDOVA TN 38016

Officer/Director/Trustee Four

RAYNELL MAY
SECRETARY
1094 EAGLES BROOKE DR
LOCUST GROVE GA 30248

Officer/Director/Trustee Five

DESHAUN DUMAS
EXECUTIVE DIRECTOR
105 CATTAIL COURT
FAYETTEVILLE GA 30215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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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