FORM 1023-EZ for NATIONAL INSTITUTE YOUTH ACADEMICSARTS & ATHLETICS

Field Data
EIN 82-2986225
Case Number EO-2020113-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL INSTITUTE YOUTH ACADEMICSARTS & ATHLETICS
Organization’s Mailing Address 4121 JAROSITE COURT
City ANTIOCH
State CA
ZIP 94509-8941
Accounting period End 12
Primary contact name ANTHONY WEST-BEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY WEST-BEY
PRESIDENT / CEO
4121 JAROSITE COURT
ANTIOCH CA 94509-8941

Officer/Director/Trustee Two

ERICA DAWSON
SECRETARY
4121 JAROSITE COURT
ANTIOCH CA 94509-8941

Officer/Director/Trustee Three

AZADEH ZOHRABI
DIRECTOR
4121 JAROSITE COURT
ANTIOCH CA 94509-8941

Officer/Director/Trustee Four

DAPHNIE EZELL
DIRECTOR
4121 JAROSITE COURT
ANTIOCH CA 94509-8941

Officer/Director/Trustee Five

JAFAR KHALFANI- BEY
TREASURER
4121 JAROSITE COURT
ANTIOCH CA 94509-8941

Organization’s website
Organization’s email NIYAAAORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2018
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 ANTHONY WEST-BEY
Signature Title PRESIDENT / CEO
Signature Date 4/20/2020

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