FORM 1023-EZ for YOUTH YOUNG ADULT DEVELOPMENT CENTER

Field Data
EIN 82-2714838
Case Number EO-2017270-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUTH YOUNG ADULT DEVELOPMENT CENTER
Organization’s Mailing Address 285 SACKETT DR
City MONROE
State OH
ZIP 45050
Accounting period End 12
Primary contact name MONTEZ JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONTEZ JOHNSON
PRESIDENT
285 SACKETT DR
MONROE OH 45050

Officer/Director/Trustee Two

MARTEZ JACKSON
VICE PRESIDENT
285 SACKETT DR
MONROE OH 45050

Officer/Director/Trustee Three

JANUARY SCOTT
SECRETARY/TREASURER
285 SACKETT DR
MONROE OH 45050

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O54 - Youth Development - Citizenship Programs
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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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