FORM 1023-EZ for NORTHSIDE YOUTH DEVELOPMENT PROGRAM

Field Data
EIN 83-3039492
Case Number EO-2019143-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHSIDE YOUTH DEVELOPMENT PROGRAM
Organization’s Mailing Address 725 OLD GEORGIA ROAD
City MOORE
State SC
ZIP 29369
Accounting period End 12
Primary contact name DELESSIA KINCADE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK EVERETT
CEO
725 OLD GEORGIA ROAD
MOORE SC 29369

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/19
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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 MARK EVERETT
Signature Title CEO
Signature Date 5/21/19

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