FORM 1023-EZ for BACK TO YOUTH

Field Data
EIN 81-3401570
Case Number EO-2018074-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BACK TO YOUTH
Organization’s Mailing Address 12230 STEWARTS CROSSING DRIVE
City CHARLOTTE
State NC
ZIP 28215
Accounting period End 12
Primary contact name LUVENA NEWTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUVENA NEWTON
CEO/PRESIDENT
12230 STEWARTS CROSSING DRIVE
CHARLOTTE NC 28215

Officer/Director/Trustee Two

ROY WATSON
CHIEF OPERATING OFFICER
3858 PINEY GROVE RD
CHARLOTTE NC 28212

Officer/Director/Trustee Three

MICHAEL MCCLINTON
CHAIR
12224 STEWARTS CROSSING DRIVE
CHARLOTTE NC 28215

Officer/Director/Trustee Four

IVORY PARRIS
TREASURER
16215 PARASOL TREE PLACE
CHARLOTTE NC 28278

Officer/Director/Trustee Five

EDDIE LOVE
CHIEF FINANCIAL OFFICER
9201 UNIVERSITY CITY BLVD
CHARLITTE NC 28223

Organization’s website BACKTOYOUTH.ORG
Organization’s email BACK2YOUTH1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/16
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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 LUVENA NEWTON
Signature Title CEO/PRESIDENT
Signature Date 3/13/18

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