FORM 1023-EZ for 4D YOUTH DEVELOPMENT AND LEADERSHIP

Field Data
EIN 84-5074046
Case Number EO-2020073-000352
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 4D YOUTH DEVELOPMENT AND LEADERSHIP
Organization’s Mailing Address 1568 PLEASANT RUN DR 9
City CINCINNATI
State OH
ZIP 45240
Accounting period End 12
Primary contact name SIERRA RANKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIERRA RANKIN
COORDINATOR
1568 PLEASANT RUN DR
CINCINNATI OH 45240

Officer/Director/Trustee Two

MICHAEL HOLMES
CEO
1701 ATSON LANE
CINCINNATI OH 45205

Officer/Director/Trustee Three

JARELLE REDDEN
PRESIDENT
208 WEST 14TH ST
CINCINNATI OH 45202

Officer/Director/Trustee Four

KINAH WILLIS
PRESIDENT
2578 CREST ROAD
CINCINNATI OH 45231

Officer/Director/Trustee Five

CHARLENE CALLOWAY
COORDINATOR
1701 ATSON LANE
CINCINNATI OH 45205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2020
Organization Incorporation State OH
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 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 SIERRA RANKIN
Signature Title COORDINATOR
Signature Date 3/11/2020

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