FORM 1023-EZ for FLINT YOUTH CENTER

Field Data
EIN 90-0629655
Case Number EO-2016141-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLINT YOUTH CENTER
Organization’s Mailing Address 6159 SOMERSET CT
City GRAND BLANC
State MI
ZIP 48439-7447
Accounting period End 12
Primary contact name KOTRINA PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KOTRINA PETERSON
PRESIDENT
6159 SOMERSET CT
GRAND BLANC MI 48439-7447

Officer/Director/Trustee Two

TRENELL CARTER
DIRECTOR OF ADMINISTRATION
3818 PARK FOREST DR
FLINT MI 48507-2257

Officer/Director/Trustee Three

AJURA SMITH
DIRECTOR OF PROGRAMMING
929 VERVAIS AVE
VALLEJO CA 94591-4867

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2011
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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