FORM 1023-EZ for YOUTH EXPERIMENT INC

Field Data
EIN 47-1399545
Case Number EO-2015040-000400
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUTH EXPERIMENT INC
Organization’s Mailing Address 3035 QUINCY CT
City AURORA
State IL
ZIP 60504
Accounting period End 6
Primary contact name JAMAL TILLERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMAL TILLERY
PRESIDENT/DIRECTOR
3035 QUINCY CT
AURORA IL 60504

Officer/Director/Trustee Two

JEREMIAH BAFFOUR-OSEI
VICE PRESIDENT/DIRECTOR
214 GLEN ELLYN RD
BLOOMINDALE IL 60108

Officer/Director/Trustee Three

GAIL TILLERY
TREASURER/DIRECTOR
3035 QUINCY CT
AURORA IL 60504

Officer/Director/Trustee Four

RICARDO WADDY
SECRETARY/DIRECTOR
269 FOREST BLVD
PARK FOREST IL 60466

Officer/Director/Trustee Five

KAVONTE CARTHRON
COMMUNICATIONS DIRECTOR
8117 SEWARD RD
JOLIET IL 60431

Organization’s website WWW.YOUTHEXPERIMENT.ORG
Organization’s email JTILLERY@YOUTHEXPERIMENT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2014
Organization Incorporation State IL
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 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 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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