FORM 1023-EZ for FOUNDATION OF YOUTH WELLNESS ORGANIZATION

Field Data
EIN 84-3509702
Case Number EO-2020184-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION OF YOUTH WELLNESS ORGANIZATION
Organization’s Mailing Address 22603 RADNOR LN
City MORENO VALLEY
State CA
ZIP 92557-6855
Accounting period End 12
Primary contact name SHANTEL K TRACEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANTEL TRACEY
CEO
22603 RADNOR LANE
MORENO VALLEY CA 92557-6855

Officer/Director/Trustee Two

WENDY HARDY
CFO
25552 DELPHINIUM AVE
MORENO VALLEY CA 92553-5050

Officer/Director/Trustee Three

CRYSTAL LILY
SECRETARY
13322 MIMOSA LANE
MORENO VALLEY CA 92553

Organization’s website
Organization’s email IEFOUNDATIONOFYOUTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHANTEL TRACEY
Signature Title CEO
Signature Date 6/30/2020

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