FORM 1023-EZ for THE ANDI LEADERSHIP INSTITUTE FOR YOUNG WOMEN

Field Data
EIN 46-1908969
Case Number EO-2015107-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE ANDI LEADERSHIP INSTITUTE FOR YOUNG WOMEN
Organization’s Mailing Address PO BOX 33571
City WASHINGTON
State DC
ZIP 20036
Accounting period End 12
Primary contact name JAIME HORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAIME HORN
DIRECTOR
1793 LANIER PLACE NW 5
WASHINGTON DC 20009

Officer/Director/Trustee Two

KIM MASSEY
DIRECTOR
3800 NEW HAMPSHIRE AVE NW 501
WASHINGTON DC 20011

Officer/Director/Trustee Three

EROL YAYBOE
DIRECTOR
3 DODGE ST
CAMBRIDGE MA 02139

Organization’s website WWW.ANDILEADERSHIP.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O54 - Youth Development - Citizenship Programs
Organization’s purpose Charitable: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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