FORM 1023-EZ for POSITIVE ACTION 4 YOUTH INC

Field Data
EIN 47-4955456
Case Number EO-2016036-000174
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POSITIVE ACTION 4 YOUTH INC
Organization’s Mailing Address 1520 CONTINENTAL SQUARE DR APT 15
City LEXINGTON
State KY
ZIP 40505
Accounting period End 12
Primary contact name JOHN RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN RUSSELL
PRESIDENT
1520 CONTINENTAL SQUARE DR APT 15
LEXINGTON KY 40505

Officer/Director/Trustee Two

LINDA RUSSELL
VICE PRESIDENT
1520 CONTINENTAL SQUARE DR APT 15
LEXINGTON KY 40505

Officer/Director/Trustee Three

ANGELA TURPIN
SECRETARY
224 CATERA PLACE
LEXINGTON KY 40509

Officer/Director/Trustee Four

CRYSTAL EVANS
TREASURER
624 KENOVA CHASE
LEXINGTON KY 40511

Officer/Director/Trustee Five

MICHAEL MCDERMOTT
BOARD MEMBER
412 DOUGLAS AVE
LEXINGTON KY 40508

Organization’s website
Organization’s email RUSSELJ62@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2015
Organization Incorporation State KY
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: 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 Yes
Donation of funds Yes
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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