FORM 1023-EZ for Y E P YOUTH ENRICHMENT PROGRAM

Field Data
EIN 82-4355217
Case Number EO-2018179-000312
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name Y E P YOUTH ENRICHMENT PROGRAM
Organization’s Mailing Address 814 PHILLIPS LANE
City STATESVILLE
State NC
ZIP 28677
Accounting period End 12
Primary contact name CHAD GLOVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHASITY ROSE
SECRETARY
3525 DASHIEL RD
CHARLOTTE NC 28262

Officer/Director/Trustee Two

CHAD GLOVER
DIRECTOR
703 GROVE DR
STATESVILLE NC 28677

Officer/Director/Trustee Three

TEWANNA MYERS
TREASURER
121 ENGLISH LANE
STATESVILLE NC 28677

Officer/Director/Trustee Four

CHRISTOPHER MCCALL
VOLUNTEER COORDINATOR
147 WINTER FLAKE DR
STATESVILLE NC 28677

Officer/Director/Trustee Five

PATTI HOLCOMB WEST
GRANT WRITER
228 WEST BELL ST
STATESVILLE NC 28677

Organization’s website
Organization’s email YOUTHEP2018@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O2O -
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 CHAD GLOVER
Signature Title DIRECTOR
Signature Date 6/26/18

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