FORM 1023-EZ for YOUTH REVOLUTION

Field Data
EIN 84-2082200
Case Number EO-2020252-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUTH REVOLUTION
Organization’s Mailing Address 3723 BURLINGAME AVE SW
City WYOMING
State MI
ZIP 49509
Accounting period End 12
Primary contact name CHARLENE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLENE SMITH
PRESIDENT
3723 BURLINGAME AVE SW
WYOMING MI 49509

Officer/Director/Trustee Two

ZENIA BATES
DIRECTOR
3723 BURLINGAME AVE SW
WYOMING MI 49509

Officer/Director/Trustee Three

ANTHONY JONES
DIRECTOR
3723 BURLINGAME AVE SW
WYOMING MI 49509

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2019
Organization Incorporation State MI
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: 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 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 CHARLENE SMITH
Signature Title PRESIDENT
Signature Date 9/3/2020

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