FORM 1023-EZ for PEACE YOUTH FOUNDATION INCORPORATED

Field Data
EIN 82-2437511
Case Number EO-2017285-000085
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEACE YOUTH FOUNDATION INCORPORATED
Organization’s Mailing Address 4147 MAYFIELD ROAD
City SOUTH EUCLID
State OH
ZIP 44121
Accounting period End 12
Primary contact name JAY LEVERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL SEMAAN
DIRECTOR
13474 EDGEWATER DRIVE
LAKEWOOD OH 44107

Officer/Director/Trustee Two

ANDRE SCOTT
ASSISTANT DIRECTOR
3361 BEECHWOOD AVENUE
CLEVELAND HEIGHTS OH 44118

Officer/Director/Trustee Three

STACY SEMAAN
SECRETARY
13474 EDWATER DRIVE
LAKEWOOD OH 44107

Officer/Director/Trustee Four

ANGELA HARRIS
TRESURER
3507 RANDOLPH ROAD
CLEVEELAND HEIGHTS OH 44121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2017
Organization Incorporation State OH
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: No
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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