FORM 1023-EZ for MARVA MILLER YOUTH FOUNDATION

Field Data
EIN 82-4623957
Case Number EO-2018302-000217
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARVA MILLER YOUTH FOUNDATION
Organization’s Mailing Address 4715 BUNKUM RD
City EAST SAINT LOUIS
State IL
ZIP 62204-2631
Accounting period End 12
Primary contact name LAUREN WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN WILSON
CHIEF EXECUTIVE OFFICER
1328 NORTH 44TH STREET APT 37A
EAST SAINT LOUIS IL 62204-2675

Officer/Director/Trustee Two

STACEY WHITE
DIRECTOR
5957 ENRIGHT AVENUE
SAINT LOUIS MO 63112-2016

Officer/Director/Trustee Three

CURTISEENA WILSON
CHAIR OF THE BOARD
1109 CHEROKEE STREET APT A
COLLINSVILLE IL 62234-2162

Officer/Director/Trustee Four

LOIS DANCY
CHIEF FINANCIAL OFFICER
357 NORTH 29TH STREET
EAST SAINT LOUIS IL 62205-1559

Officer/Director/Trustee Five

KIYANA SEAWRIGHT
CHIEF SECRETARY OFFICER
4165 SHAW AVENUE
SAINT LOUIS MO 63110-3623

Organization’s website MARVAMILLERYOUTHFOUNDATION.ORG
Organization’s email MARVAMILLERYOUTHFOUNDATION@TEACHERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/18
Organization Incorporation State IL
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 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 Yes
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 LAUREN WILSON
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 10/25/18

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