FORM 1023-EZ for DIVINE PURPOSE YOUTH SERVICE INC

Field Data
EIN 20-4457043
Case Number EO-2020041-000632
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVINE PURPOSE YOUTH SERVICE INC
Organization’s Mailing Address 1145 MARY LEE COURT
City RIVERDALE
State GA
ZIP 30296
Accounting period End 12
Primary contact name JOSIE I SINGLETARY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSIE SINGLETARY
PRESIDENT
1145 MARY LEE COURT
RIVERDALE GA 30296

Officer/Director/Trustee Two

ETHEL BURTON
VICE-PRESIDENT
15046 SW 155TH TERRACE
MIAMI FL 33187

Officer/Director/Trustee Three

PATRICK PETTY
TREASURER-SECRETARY
PO BOX 870296
MORROW GA 30236

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2015
Organization Incorporation State GA
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: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 JOSIE SINGLETARY
Signature Title PRESIDENT
Signature Date 2/7/2020

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