YOUTH LIFE SKILLS ACADEMY: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
YOUTH LIFE SKILLS ACADEMY (EIN 84-3715093)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202213189349205016
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-14T14:05:39-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN930690981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORD BLACK & CO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16950 SW HAMPTON ST STE 100AddressLine1Txt
CityTIGARDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97223ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN843715093EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1YOUTH LIFE SKILLS ACADEMYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlYOUTBusinessNameControlTxt
Phone5034902488PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110541 SW NAEVE STAddressLine1Txt
CityTIGARDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97224ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL HOLTONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5034902488PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHEALPersonFirstNm
Person LastHOLTONPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLESLIE CLARKPreparerPersonNm
PTINP00361506PTIN
Phone5032280228PhoneNum
Preparation2022-11-08PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$54,400GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$54,400ContributionsGiftsGrantsEtcAmt
Total Revenue$54,400TotalRevenueAmt
Salaries Other Comp Empl Bnft$3,525SalariesOtherCompEmplBnftAmt
Printing Publications Postage$345PrintingPublicationsPostageAmt
Other Expenses Total$11,637OtherExpensesTotalAmt
Total Expenses$15,507TotalExpensesAmt
Excess Or Deficit For Year$38,893ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances EOY$38,893NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
EOY$38,893EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$38,893EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$38,893EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeYOUTH LIFE SKILLS ACADEMY (YLSA) IS DEDICATED TO MEETING YOUTH IN THEIR CIRCUMSTANCES AND EDUCATE, INSPIRE, AND EMPOWER THEM TO MOVE IN THE DIRECTION OF THEIR DREAMS. OUR MISSION IS TO CREATE A POSITIVE STRUCTURED LEARNING ENVIRONMENT WITH AN EMPHASIS ON IMPROVING LIFE SKILLS THROUGH SPORTS AND BASKETBALL. WE PROVIDE POSITIVE AND MEASURABLE LIFE SKILLS THROUGH EXPERIENCING OUR STRUCTURED EVENTS THAT OCCUR DURING BREAKS THROUGHOUT THE K-12 SCHOOL CALENDAR.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomPROVIDE SKILLS TRAINING TO LOCAL YOUTH. IN 2021, YOUTH LIFE SKILLS ACADEMY HELD A CAMP WITH 28 ATTENDEES, 19 OF WHICH WERE MALE AND 9 WERE FEMALE. OF THOSE, 14 WERE HISPANIC, 6 CAUCASIAN, 4 AFRICAN AMERICAN, 3 ASIAN, AND 1 MIXED RACE.DescriptionProgramSrvcAccomTxt
Program Service Expenses$5,740ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$5,740TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (5 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
MICHAEL HOLTON
PRESIDENT10.00$0
LASHELL HOLTON
SECRETARY2.00$0
NICK SEED
BOARD MEMBER0.20$0
DAVID MORROW
BOARD MEMBER0.25$0
DESIREE JONES
BOARD MEMBER1.00$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL HOLTONPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110541 SW NAEVE STAddressLine1Txt
CityTIGARDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97224ZIPCd
FieldValueIRS element (for citing)
Phone5034902488PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$54,400CurrentTaxYearAmt
Total$54,400TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year$54,400CurrentTaxYearAmt
Total$54,400TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$54,400PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year$54,400CurrentTaxYearAmt
Total$54,400TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 16EXPENSES OFFICE 2,163 TRAVEL 1,319 INSURANCE 380 BANK FEES 19 LICENSES AND PERMITS 50 MEALS 71 CAMP SUPPLIES 2,215 NON-INVESTMENT DEPRECIATION 5,420 TOTAL 11,637
FORM 990-EZ, PART II, LINE 24FURNITURE 0 5,420 LESS ACCUMULATED DEPRECIATION 0 5,420 TOTAL 0 0
FORM 990-EZ, PART IIIYOUTH LIFE SKILLS ACADEMY (YLSA) IS DEDICATED TO MEETING YOUTH IN THEIR CIRCUMSTANCES AND EDUCATE, INSPIRE, AND EMPOWER THEM TO MOVE IN THE DIRECTION OF THEIR DREAMS. OUR MISSION IS TO CREATE A POSITIVE STRUCTURED LEARNING ENVIRONMENT WITH AN EMPHASIS ON IMPROVING LIFE SKILLS THROUGH SPORTS AND BASKETBALL. WE PROVIDE POSITIVE AND MEASURABLE LIFE SKILLS THROUGH EXPERIENCING OUR STRUCTURED EVENTS THAT OCCUR DURING BREAKS THROUGHOUT THE K-12 SCHOOL CALENDAR.
FORM 990-EZ, PART III, LINE 28PROVIDE SKILLS TRAINING TO LOCAL YOUTH. IN 2021, YOUTH LIFE SKILLS ACADEMY HELD A CAMP WITH 28 ATTENDEES, 19 OF WHICH WERE MALE AND 9 WERE FEMALE. OF THOSE, 14 WERE HISPANIC, 6 CAUCASIAN, 4 AFRICAN AMERICAN, 3 ASIAN, AND 1 MIXED RACE.

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