FORM 1023-EZ for A BETTER LIFE YOUTH FOUNDATION

Field Data
EIN 81-4713210
Case Number EO-2016354-000315
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A BETTER LIFE YOUTH FOUNDATION
Organization’s Mailing Address 8 BARTLETT STREET
City SOMERVILLE
State MA
ZIP 02145
Accounting period End 12
Primary contact name ANTHONY A CRUTCHFIELD III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY CRUTCHFIELD
PRESIDENT
8 BARTLETT STREET
SOMERVILLE MA 02145

Officer/Director/Trustee Two

DARRICK EDWARDS
VICE PRESIDENT
10 SENDERS COURT
HYDE PARK MA 02136

Officer/Director/Trustee Three

SHELTON BASKERVILLE
TREASURE
96 BELNEL RD
HYDE PARK MA 02136

Officer/Director/Trustee Four

DERRICK GOODMAN
SECRETARY
10 ARCH PLACE
HAVERHILLE MA 01832

Officer/Director/Trustee Five

ROSEANNA TUDOR
BOARD MEMBER
8 BARTLETT STREET
SOMERVILLE MA 02145

Organization’s website AACRUTCHFIELD.COM
Organization’s email AACRUTCHFIELDABL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 Yes
One Third Support Gifts No
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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