FORM 1023-EZ for COMMUNITY YOUTH AND FAMILY OUTREACH

Field Data
EIN 47-4459347
Case Number EO-2015243-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY YOUTH AND FAMILY OUTREACH
Organization’s Mailing Address 715 PRYORTOWN RD
City VILLA RIDGE
State IL
ZIP 62996-2401
Accounting period End 12
Primary contact name ESTHER WADDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ESTHER WADDY
PRESIDENT
715 PRYORTOWN RD
VILLA RIDGE IL 62996-2401

Officer/Director/Trustee Two

CHRISTINE PULLEN
TREASURER
318 S 3RD ST
MARION IL 62959-1239

Officer/Director/Trustee Three

VICTORIA NEALY
SECRETARY
3032 W ANN ST
PEORIA IL 61605-1213

Officer/Director/Trustee Four

LORINA NICHOLSON
BOARD MEMBER
936 N CHURCH
JACKSONVILLE IL 62650-1328

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State IL
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: Yes
Educational: No
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 Yes
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 Yes
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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