| Field | Data |
|---|---|
| EIN | 86-3921708 |
| Case Number | EO-2021141-000600 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MEDINA YOUTH SERVICES INC |
| Organization’s Mailing Address | 719 MAIN ST |
| City | BOONTON |
| State | NJ |
| ZIP | 07005-0091 |
| Accounting period End | 12 |
| Primary contact name | NASIMA DADKHWA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BARAT JAN
DIRECTOR
719 MAIN ST
BOONTON NJ 07005-0091
NASIMA DADKHWA
PRESIDENT
719 MAIN ST
BOONTON NJ 07005-0091
SOPHIA JAN
TREASURER
719 MAIN ST
BOONTON NJ 07005-0091
SOFAH JAN
SECRETARY
719 MAIN ST
BOONTON NJ 07005-0091
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/18/2021 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A11 - Single Organization Support |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes Literary: Yes Public Safety: Yes Amateur Sports: No Cruelty Prevention: Yes |
| 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 | NASIMA DADKHWA |
| Signature Title | PRESIDENT |
| Signature Date | 5/18/2021 |
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