FORM 1023-EZ for J14 YCSC INC
| Field | Data |
|---|---|
| EIN | 47-2837069 |
| Case Number | EO-2015068-000935 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | J14 YCSC INC |
| Organization’s Mailing Address | 9510 BIRDWATCH LANE |
| City | CHARLOTTE |
| State | NC |
| ZIP | 28214 |
| Accounting period End | 1 |
| Primary contact name | ADRIAN SCRIVEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
EVERETT SMITH
PRESIDENT
9510 BIRDWATCH LANE
CHARLOTTE NC 28214
Officer/Director/Trustee Two
RYANT CAIN
TREASURER
1337 CRANDON DRIVE
CHARLOTTE NC 28216
Officer/Director/Trustee Three
DOUG VINCENT
SECRETARY
910 DORIS RAY COURT
CHARLOTTE NC 28216
Officer/Director/Trustee Four
KAREN BURROUGHS
DIRECTOR
9510 BIRDWATCH LANE
CHARLOTTE NC 28214
Officer/Director/Trustee Five
ADRIAN SCRIVEN
CHIEF OPERATING OFFICER
9510 BIRDWATCH LANE
CHARLOTTE NC 28214
| Organization’s website | |
|---|---|
| Organization’s email | J14CLINIC@AOL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/15/2015 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O99 - Youth Development N.E.C. |
| 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 | 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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