FORM 1023-EZ for YOUTH IN MIND INC

Field Data
EIN 80-0821363
Case Number EO-2015232-000457
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUTH IN MIND INC
Organization’s Mailing Address 5114 NEW HAMPSHIRE AVE NW
City WASHINGTON
State DC
ZIP 20011
Accounting period End 6
Primary contact name TANISHA LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOYCE PERRY
OFFICER
5114 NEW HAMPSHIRE AVE NW
WASHINGTON DC 20011

Officer/Director/Trustee Two

TANISHA LEWIS
BOARD OF DIRECTOR MEMBER
631 ALLISON STREET NW
WASHINGTON DC 20011

Officer/Director/Trustee Three

MARIE BLAKE
BOARD OF DIRECTOR MEMBER
10911 AMHERST AVE APT512
SILVER SPRING MD 20902

Officer/Director/Trustee Four

REBECCA FORSYTH
BOARD OF DIRECTOR MEMBER
4907 16TH ST NW
WASHINGTON DC 20011

Officer/Director/Trustee Five

JANET MARTIN
BOARD OF DIRECTOR MEMBER
2801 14TH ST NW
WASHINGTON DC 20009

Organization’s website YOUTHINMINDINC.COM
Organization’s email YOUNTINMINDINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2012
Organization Incorporation State DC
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: No
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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