FORM 1023-EZ for MERCED YOUTH CONNECT

Field Data
EIN 81-4024254
Case Number EO-2016285-000617
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MERCED YOUTH CONNECT
Organization’s Mailing Address 1382 BELMONT DRIVE
City MERCED
State CA
ZIP 95348-8433
Accounting period End 12
Primary contact name GREGORY CULOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AARON LEQUIA
PRESIDENT CEO
1382 BELMONT DRIVE
MERCED CA 95348-8433

Officer/Director/Trustee Two

GREGORY CULOT
TREASURER
225 SOUTH MELODY LANE
MERCED CA 95340-0621

Officer/Director/Trustee Three

MEGAN SIMS
DIRECTOR
689 CHANDON DRIVE
MERCED CA 95348-9644

Officer/Director/Trustee Four

EMILY TOLSMA
SECRETARY
468 JUDY COURT
MERCED CA 95348-2819

Officer/Director/Trustee Five

JULIE WHEELER
DIRECTOR
258 W 23RD STREET
MERCED CA 95340-3870

Organization’s website HTTP://WWW.MERCEDYOUTHCONNECT.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2016
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 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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