FORM 1023-EZ for YOUTH ACTION SUPPORT INC

Field Data
EIN 84-2943101
Case Number EO-2019261-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUTH ACTION SUPPORT INC
Organization’s Mailing Address 4801 GLENWOOD AVE STE 200
City RALEIGH
State NC
ZIP 27612
Accounting period End 12
Primary contact name RUTH COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN MARTIN
PRESIDENT
1800 COMMONWEALTH AVE APT 314
CHARLOTTE NC 28205

Officer/Director/Trustee Two

RUTH COOK
TREASURER
6525 FOOTHILLS LN
CONCORD NC 28025

Officer/Director/Trustee Three

JENNIFER MA
SECRETARY
1800 COMMONWEALTH AVE APT 314
CHARLOTTE NC 28205

Officer/Director/Trustee Four

SARAH PATTERSON
VICE PRESIDENT
125 TUSCARORA DR
HILLSBOROUGH NC 27278

Officer/Director/Trustee Five

MATT SHANGLER
DIRECTOR
500 KENION RD
HILLSBOROUGH NC 27278

Organization’s website WWW.YOUTHACTIONSUPPORT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
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 Yes
Compensation of Officer director trustee Yes
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 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 RUTH COOK
Signature Title TREASURER
Signature Date 9/16/19

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