FORM 1023-EZ for EMPIRE 4 YOUTH

Field Data
EIN 83-4051796
Case Number EO-2019137-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPIRE 4 YOUTH
Organization’s Mailing Address 1428 MITCHELL ST
City OAKLAND
State CA
ZIP 94601
Accounting period End 12
Primary contact name PAUL WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL WEST
PRESIDENT/DIRECTOR
1428 MITCHELL ST
OAKLAND CA 94601

Officer/Director/Trustee Two

WILLIE CARLEY
VICE-PRESIDENT/DIRECTOR
10 EVERGREEN LN
WALDEN NY 12586

Officer/Director/Trustee Three

ASHLEY GASKINS
TREASURER/DIRECTOR
355 ESTABROOK ST
SAN LEANDRO CA 94577

Officer/Director/Trustee Four

IYANI LOPEZ-ISON
ASSISTANT TREASURER/DIRECTOR
1428 35TH AVE APT 4
OAKLAND CA 94601

Officer/Director/Trustee Five

PRECIOUS OWENS
SECRETARY/DIRECTOR
6399 CHRISTIE AVE APT 344
EMERYVILLE CA 94608

Organization’s website
Organization’s email MRPEEWEST@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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 No
Correctness Declaration Yes
Signature Name PAUL WEST
Signature Title PRESIDENT/DIRECTOR
Signature Date 5/15/19

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