FORM 1023-EZ for BZ YOUTH FOUNDATION

Field Data
EIN 83-4065889
Case Number EO-2019084-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BZ YOUTH FOUNDATION
Organization’s Mailing Address 510 PLAZA DRIVE SUITE 2250
City ATLANTA
State GA
ZIP 30349
Accounting period End 12
Primary contact name CLOYD BARNWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLOYD BARNWELL
DIRECTOR
169 EDISON DRIVE
STOCKBRIDGE GA 30281

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CLOYD BARNWELL
Signature Title DIRECTOR
Signature Date 3/21/19

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