FORM 1023-EZ for CONSCIOUS YOUTH CENTER

Field Data
EIN 83-1979348
Case Number EO-2020178-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONSCIOUS YOUTH CENTER
Organization’s Mailing Address 219 S RIVERSIDE AVE PO BOX 158
City RIALTO
State CA
ZIP 92376
Accounting period End 12
Primary contact name FRANCINE MADRID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCINE MADRID
PRESIDENT
10801 LEMON AVE APT 2025
RANCHO CUCAMONGA CA 91737

Officer/Director/Trustee Two

DESIREE MARTINEZ
VICE PRESIDENT
14135 REDONDO CT
FONTANA CA 92336

Officer/Director/Trustee Three

CHRISTOPHER QUIOCHO
SECRETARY
2035 N LUGO AVE
SAN BERNARDINO CA 92404

Officer/Director/Trustee Four

EDGARDO PONCE
TREASURER
1263 W 6TH ST
SAN BERNARDINO CA 92411

Officer/Director/Trustee Five

RUBEN CISNEROS
BOARD CHAIR
10801 LEMON AVE APT 2025
RANCHO CUCAMONGA CA 91737

Organization’s website CONSCIOUSYOUTHCENTER.ORG
Organization’s email CYC@CONSCIOUSYOUTHCENTER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2018
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 FRANCINE MADRID
Signature Title PRESIDENT
Signature Date 6/23/2020

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