FORM 1023-EZ for ELITE RESIDENTIAL PROGRAM FOR BOYS

Field Data
EIN 82-2506824
Case Number EO-2017235-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELITE RESIDENTIAL PROGRAM FOR BOYS
Organization’s Mailing Address 39412 HAWTHORNE STREET
City PALMDALE
State CA
ZIP 93551
Accounting period End 12
Primary contact name MARK HANCOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MADELINE PORTER-TAYLOR
PRESIDENT
39412 HAWTHORNE ST
PALMDALE CA 93551

Officer/Director/Trustee Two

TONI RILEY
SECRETARY
3956 W ASTER
PHOENIX AZ 85029

Officer/Director/Trustee Three

TONI RILEY
TREASURER
3956 W ASTER
PHOENIX AZ 85029

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
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 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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