FORM 1023-EZ for YAX COMMUNITY ACCESS SERVICE INC

Field Data
EIN 82-1160401
Case Number EO-2017132-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YAX COMMUNITY ACCESS SERVICE INC
Organization’s Mailing Address 2139 MARTIN LUTHER KING JR BLVD
City AUGUSTA
State GA
ZIP 30901
Accounting period End 12
Primary contact name VELMA YAX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VELMA YAX
DIRECTOR
2139 MARTIN LUTHER KING JR BLVD
AUGUSTA GA 30901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - 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 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
Signature Title
Signature Date

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