FORM 1023-EZ for THE LLEWELLYN J FORBES URBAN YOUTHINITIATIVE INC

Field Data
EIN 46-5553436
Case Number EO-2014261-000445
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LLEWELLYN J FORBES URBAN YOUTHINITIATIVE INC
Organization’s Mailing Address 1501 METROPOLITAN AVE SUITE 10B
City BRONX
State NY
ZIP 10462-6162
Accounting period End 6
Primary contact name LLEWELLYN FORBES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LLEWELLYN FORBES
EXECUTIVE DIRECTOR
1501 METROPOLITAN AVE APT 10B
BRONX NY 10462-6162

Officer/Director/Trustee Two

NATHANIEL FORBES
SECRETARY
3470 ELY AVE
BRONX NY 10469

Officer/Director/Trustee Three

NEVILLE FORBES
TECH ADMINISTRATOR
3470 ELY AVE
BRONX NY 10469

Organization’s website WWW.URBANYOUTHINITIATIVE.ORG
Organization’s email LJFORBES.EDUCATOR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2014
Organization Incorporation State NY
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: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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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