FORM 1023-EZ for AMC4YOUTH

Field Data
EIN 86-2864337
Case Number EO-2021265-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMC4YOUTH
Organization’s Mailing Address 2501 CHATHAM RD
City SPRINGFIELD
State IL
ZIP 62704
Accounting period End 5
Primary contact name GLORIA JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLORIA JACKSON
OFFICER
10353 CHRIS DR
INDIANAPOLIS IN 46229-1824

Officer/Director/Trustee Two

JOHN CLARK
OFFICER
3442 VILLA RIDGE APT A2
PEORIA IL 61604-1787

Officer/Director/Trustee Three

STEPHEN STANLEY
OFFICER
2264 N 51 STREET
PHILADELPHIA PA 19131-2452

Officer/Director/Trustee Four

JOSHUA FINNELL
DIRECTOR
2600 JOHNNY CAKE HILL RD
HAMILTON NY 13346-2190

Officer/Director/Trustee Five

KIRSTEN WEST-SAVALI
DIRECTOR
23710 HACKBERRY DR
KATY TX 77494-2820

Organization’s website AMC4YOUTH.ORG
Organization’s email LADYGLO56@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GLORIA JACKSON
Signature Title OFFICER
Signature Date 8/12/2021

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