FORM 1023-EZ for GOSPEL YOUTH INC

Field Data
EIN 83-1037145
Case Number EO-2018180-000422
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOSPEL YOUTH INC
Organization’s Mailing Address 1005 CAMPBELL AVE
City LAKE WALES
State FL
ZIP 33853
Accounting period End 12
Primary contact name SAMUEL TERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL TERRY
EXECUTIVE DIRECTOR
1005 CAMPBELL AVE
LAKE WALES FL 33853

Officer/Director/Trustee Two

DWAYNE GOLDMAN
PRESIDENT
1737 S HIGHLAND PARK DRIVE
LAKE WALES FL 33898

Officer/Director/Trustee Three

JOHNNY TROUGHTON
TREASURER
819 CAMPBELL AVE
LAKE WALES FL 33853

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 SAMUEL TERRY
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/27/18

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