FORM 1023-EZ for THE JANIYAH IRVING YOUTH FOUNDATION

Field Data
EIN 80-0710924
Case Number EO-2014240-000536
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE JANIYAH IRVING YOUTH FOUNDATION
Organization’s Mailing Address 1420 SE 41ST AVENUE
City GAINESVILLE
State FL
ZIP 32641
Accounting period End 12
Primary contact name AYANA ARCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AYANA ARCHER
FOUNDER AND PRESIDENT
1420 SE 41ST AVENUE
GAINESVILLE FL 32641

Officer/Director/Trustee Two

KENYA ELLIS-WALKER
VICE PRESIDENT
2611 NE 11TH TERRACE
GAINESVILLE FL 32609

Officer/Director/Trustee Three

COURTNEY MITCHUM
SECRETARY
6103 NE 67TH AVENUE
GAINESVILLE FL 32609

Officer/Director/Trustee Four

TERESSA ARCHER
TREASURER
218 NW 21ST AVENUE
GAINESVILLE FL 32609

Organization’s website
Organization’s email JANIYAHYOUTHFOUNDATION@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2011
Organization Incorporation State FL
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: 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 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 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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