FORM 1023-EZ for YOUTH SOCIAL CHANGE FELLOWSHIP

Field Data
EIN 85-2897029
Case Number EO-2021125-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUTH SOCIAL CHANGE FELLOWSHIP
Organization’s Mailing Address 207 WOOD CIRCLE
City CHAPEL HILL
State NC
ZIP 27514-2421
Accounting period End 12
Primary contact name ARDEN REYNOLDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARDEN REYNOLDS
EXECUTIVE DIRECTOR
207 WOOD CIRCLE
CHAPEL HILL NC 27514-2421

Officer/Director/Trustee Two

MARIANA OLAIZOLA
PRESIDENT
5454 S SHORE DR APT 0411
CHICAGO IL 60615

Officer/Director/Trustee Three

JOHARA BENRAHOU
VICE PRESIDENT
316 SOUTH LEYDEN ST
DENVER CO 80224-1244

Officer/Director/Trustee Four

RUTH PROCTOR
TREASURER
412 LONGLEAF DR
CHAPEL HILL NC 27517-3043

Officer/Director/Trustee Five

RUBY GARDNER
SECRETARY
3005 NORTH 13TH STREET
TACOMA WA 98406

Organization’s website YSCFELLOWSHIP.ORG
Organization’s email YSCFELLOWSHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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 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 ARDEN REYNOLDS
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/3/2021

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