FORM 1023-EZ for DOROTHY MAXINE RANDALL YOUTH INC

Field Data
EIN 84-1749592
Case Number EO-2019140-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOROTHY MAXINE RANDALL YOUTH INC
Organization’s Mailing Address 14163 HAPPYWOODS DR
City HAMMOND
State LA
ZIP 70403
Accounting period End 12
Primary contact name UNDRA RANDALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

UNDRA RANDALL
DIRECTOR
14163 HAPPYWOODS DR
HAMMOND LA 70403

Officer/Director/Trustee Two

BRENDA RANDALL
DIRECTOR
14163 HAPPYWOODS DR
HAMMOND LA 70403

Officer/Director/Trustee Three

RUTH BROOKS
DIRECTOR
14163 HAPPYWOODS DR
HAMMOND LA 70403

Officer/Director/Trustee Four

TRINA BETTS
DIRECTOR
46424 RUFUS BANKSTON RD
HAMMOND LA 70401

Officer/Director/Trustee Five

JOSHUA HAYNES
DIRECTOR
125 NORTH 11TH STREET
PONCHATOULA LA 70454

Organization’s website
Organization’s email DOROTHYRANDALLYOUTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 UNDRA RANDALL
Signature Title DIRECTOR
Signature Date 5/16/19

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