FORM 1023-EZ for DOUBLE VISION YOUTH INITIATIVE FOUNDATION

Field Data
EIN 47-1843340
Case Number EO-2018120-000442
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOUBLE VISION YOUTH INITIATIVE FOUNDATION
Organization’s Mailing Address 4306 NOTTAWAY PLACE
City MATTHEWS
State NC
ZIP 28105
Accounting period End 10
Primary contact name MICHAEL EDWARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAVON SNEED
DIRECTOR
195 GATE HOUSERD
NEWPORT NEWS VA 23608

Officer/Director/Trustee Two

JASMINE EDWARDS
DIRECTORS
920 HIGHLAND AVE
GREENBORO NC 27403

Officer/Director/Trustee Three

WALLACE BAXTER
DIRECTOR
1341 VICTORIA FALL CT
ATLANTA GA 30311

Officer/Director/Trustee Four

PHILLIP VAN POOLE
DIRECTOR
10545 PACES AVE
MATTHEWS NC 28105

Officer/Director/Trustee Five

MICHAEL EDWARDS
PRESIDENT
4306 NOTTAWAY PLACE
MATTHEWS NC 28105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/14
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name MICHAEL EDWARDS
Signature Title PRESIDENT
Signature Date 4/26/18

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