FORM 1023-EZ for IMAGE FOR TEENS

Field Data
EIN 38-3814033
Case Number EO-2020141-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMAGE FOR TEENS
Organization’s Mailing Address P O BOX 1252
City PURVIS
State MS
ZIP 39475
Accounting period End 9
Primary contact name JESSICA TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STANCEY COLLINS
CHIEF FINANCIAL OFFICER
PO BOX 1252
PURVIS MS 39475

Officer/Director/Trustee Two

CHANDRA FOARD
SECRETARY
PO BOX 1252
PURVIS MS 39475

Officer/Director/Trustee Three

JESSICA TAYLOR
CHIEF EXECUTIVE OFFICER
PO BOX 1252
PURVIS MS 39475

Organization’s website
Organization’s email IMAGEFORTEENS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2010
Organization Incorporation State MS
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: 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 JESSICA TAYLOR
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 5/18/2020

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