FORM 1023-EZ for DRIVEN YOUTH ORGANIZATION

Field Data
EIN 82-1972020
Case Number EO-2017198-000470
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DRIVEN YOUTH ORGANIZATION
Organization’s Mailing Address P O BOX 2336
City CHALMETTE
State LA
ZIP 70044
Accounting period End 12
Primary contact name DAN JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL A JOHNSON
TREASURER
832 E BOSTON ST UNIT 15
COVINGTON LA 70433

Officer/Director/Trustee Two

ROBERT E SHOWALTER
PRESIDENT
3408 E ST BERNARD HWY
MERAUX LA 70075

Officer/Director/Trustee Three

DONALD DUPLANTIER
VICE PRESIDENT
3472 HWY 39
BRAITHWAITE LA 70040

Officer/Director/Trustee Four

DANIEL P BOURGEOIS
SECRETARY
64466 JOSEPHINE ST
PEARL RIVER LA 70452

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2017
Organization Incorporation State LA
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: Yes
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 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
Signature Title
Signature Date

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