FORM 1023-EZ for YOUTH TRANSFORMATION

Field Data
EIN 84-4833760
Case Number EO-2020120-000329
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUTH TRANSFORMATION
Organization’s Mailing Address 1124 VIRGINIA AVE APT C
City PORTSMOUTH
State VA
ZIP 23707
Accounting period End 12
Primary contact name DEYONTA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEYONTA JOHNSON
CHAIR
1124 VIRGINIA AVE APT C
PORTSMOUTH VA 23707

Officer/Director/Trustee Two

YOLANDA BLOW
VICE PRESIDENT
2212 RODGERS STREET
CHESAPEAKE VA 23324

Officer/Director/Trustee Three

SHANNON BAKER
SECRETARY
3673 GATEWAY DRIVE APT 3A
PORTSMOUTH VA 23703

Officer/Director/Trustee Four

JUANITA MOORE
TREASURER
3815 PEACH ORCHARD CIRCLE
PORTSMOUTH VA 23703

Officer/Director/Trustee Five

SUBRINA WEATHERSBY
FINANCIAL SECRETARY
739 DUNEDIN RD APT D
PORTSMOUTH VA 23701

Organization’s website
Organization’s email YOUTHTRANSFORMATIONINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2020
Organization Incorporation State VA
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 DEYONTA JOHNSON
Signature Title CHAIR
Signature Date 4/27/2020

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