FORM 1023-EZ for BRIAN ALLEN YOUTH LEADERSHIP ORGANIZATION INC

Field Data
EIN 84-2977136
Case Number EO-2019259-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIAN ALLEN YOUTH LEADERSHIP ORGANIZATION INC
Organization’s Mailing Address 1519 FLAGLER AVE
City JACKSONVILLE
State FL
ZIP 32207-3105
Accounting period End 5
Primary contact name ROSEMARIE ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIONNE TAYLOR
PRESIDENT
13576 DEN HOLLOW CT
MANASSAS VA 20112-5545

Officer/Director/Trustee Two

GERALD ALLEN
SECRETARY
1519 FLAGLER AVE
JACKSONVILLE FL 32207-3105

Officer/Director/Trustee Three

ANNMARIE LONG
TREASURER
11551 SW 72 PL
PINECREST FL 33156-4671

Officer/Director/Trustee Four

CLARENCE KEMP
DIRECTOR
2756 KING COLE DR
JACKSONVILLE FL 32209-2829

Officer/Director/Trustee Five

ROSEMARIE ALLEN
CHIEF EXECUTIVE OFFICER
1519 FLAGLER AVE
JACKSONVILLE FL 32207-3105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J21 - Vocational Counseling, Guidance and Testing
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 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 ROSEMARIE ALLEN
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 9/10/19

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