FORM 1023-EZ for YOUTH TRIBE

Field Data
EIN 47-4411468
Case Number EO-2015216-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUTH TRIBE
Organization’s Mailing Address 104 SW 4TH STREET UNIT 412
City DES MOINES
State IA
ZIP 50309
Accounting period End 12
Primary contact name MICHAEL ZIMMERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KARLA WALSH
DIRECTOR
3816 FRANKLIN AVENUE
DES MOINES IA 50310

Officer/Director/Trustee Two

SHELBY KLINKENBORG
DIRECTOR AND SECRETARY
2798 NW 153RD STREET
CLIVE IA 50325

Officer/Director/Trustee Three

MICHAEL ZIMMERMAN
DIRECTOR AND PRESIDENT
104 SW 4TH STREET UNIT 412
DES MOINES IA 50309

Officer/Director/Trustee Four

KARA BURG
DIRECTOR
6507 GIBSON DRIVE
CEDAR RAPIDS IA 52411

Officer/Director/Trustee Five

TERRY MERFELD
DIRECTOR AND TREASURER
2428 KING AVENUE
DES MOINES IA 50320

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
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 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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