| Field | Data |
|---|---|
| EIN | 81-3154679 |
| Case Number | EO-2018120-000530 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CONCERNED YOUTH CLUB CORP |
| Organization’s Mailing Address | 608 W JEFFERSON STREET |
| City | JENNINGS |
| State | LA |
| ZIP | 70546 |
| Accounting period End | 12 |
| Primary contact name | DAVONTIA WILRIDGE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BETTY CITIZEN
OFFICER
419 LEBATO STREET
LAKE CHARLEA LA 70601
JOSHUA VALLAIRE
OFFICER
1638 BROAD STREET
LAKE CHARLES LA 70601
WILLETTE WILRIDGE
OFFICER
1707 8TH STREET
LAKE CHARLES LA 70601
DAVONTIA WILRIDGE
CEO
1122 W VERDINE STREET 116
SULPHUR LA 70663
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/1/17 |
| Organization Incorporation State | LA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B80 - Student Services, Organizations of Students |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | 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 | DAVONTIA WILRIDGE |
| Signature Title | CEO |
| Signature Date | 4/26/18 |
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