FORM 1023-EZ for F I Y A INC

Field Data
EIN 82-2441784
Case Number EO-2017317-000507
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name F I Y A INC
Organization’s Mailing Address 38 LITTLE CAPERS RD
City BEAUFORT
State SC
ZIP 29907
Accounting period End 12
Primary contact name SHAKINA WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAKINA WILSON
EXECUTIVE DIRECTOR
40 LITTLE CAPER RD
BEAUFORT SC 29907

Officer/Director/Trustee Two

DIANDRA ANDERSON
CHAIRMAN OF THE BOARD
726 CELESTE
ATLANTA GA 30331

Officer/Director/Trustee Three

DONNA GREEN
SECRETARY OF THE BOARD
44 JOHNSON LANDING RD
BEAUFORT SC 29907

Officer/Director/Trustee Four

STACIE GREEN
TREASURER OF THE BOARD
40 CAPEHART CIRCLE
BEAUFORT SC 29906

Officer/Director/Trustee Five

JESSICA SNEED
FUNDRAISING CHAIR OF THE BOARD
6 JAMES GREEN LANE
BEAUFORT SC 29907

Organization’s website
Organization’s email FIYAINC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2017
Organization Incorporation State SC
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: 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
Signature Title
Signature Date

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