FORM 1023-EZ for MITCHELL ROBINSON III YOUTH FOUNDATION INC

Field Data
EIN 83-4493353
Case Number EO-2019115-000311
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MITCHELL ROBINSON III YOUTH FOUNDATION INC
Organization’s Mailing Address 2113 SERPAS LN
City SAINT BERNARD
State LA
ZIP 70085
Accounting period End 12
Primary contact name PERRY NICOSIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILYN HALL-THOMAS
PRESIDENT
15 BANK STREET APT 103I
WHITE PLAINS NY 10606

Officer/Director/Trustee Two

PERRY NICOSIA
SEC./TREAS.
15 BANK STREET 103I
WHITE PLAINS LA 70085

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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 PERRY NICOSIA
Signature Title SEC./TREAS.
Signature Date 4/23/19

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