FORM 1023-EZ for HOLISTICALLY EMPOWERED YOUTH INC

Field Data
EIN 81-1884117
Case Number EO-2016138-000514
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLISTICALLY EMPOWERED YOUTH INC
Organization’s Mailing Address 1 SIMPSON COURT
City REISTERSTOWN
State MD
ZIP 21136-6413
Accounting period End 12
Primary contact name JAMELIAH BLOUNT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMELIAH BLOUNT
BOARD PRESIDENT EXEC DIRECTOR
1 SIMPSON COURT
REISTERSTOWN MD 21136-6413

Officer/Director/Trustee Two

JASMINE WILCHER
BOARD SECRETARY
1 SIMPSON COURT
REISTERSTOWN MD 21136-6413

Officer/Director/Trustee Three

JUSTIN DAVIS
BOARD TREASURER
1 SIMPSON COURT
REISTERSTOWN MD 21136-6413

Organization’s website WWW.HEYYOUTHINC.COM
Organization’s email INFO@HEYYOUTHINC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2016
Organization Incorporation State MD
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: 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 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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