FORM 1023-EZ for YOUTH WITH A MISSION CANBY

Field Data
EIN 47-3585724
Case Number EO-2015092-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUTH WITH A MISSION CANBY
Organization’s Mailing Address 7501 SOUTH KNIGHTS BRIDGE RD
City CANBY
State OR
ZIP 97013
Accounting period End 12
Primary contact name BRADY COTTLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRADY COTTLE
FOUNDING DIRECTOR
7501 SOUTH KNIGHGTS BRIDGE RD
CANBY OR 97013

Officer/Director/Trustee Two

MISTY COTTLE
MINISTRY DIRECTOR
7501 SOUTH KNIGHTS BRIDGE RD
CANBY OR 97013

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
Educational: No
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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
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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