FORM 1023-EZ for YOUGLYCEMIA

Field Data
EIN 47-1683070
Case Number EO-2014254-000670
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUGLYCEMIA
Organization’s Mailing Address 778 OGDEN STREET
City DENVER
State CO
ZIP 80209
Accounting period End 12
Primary contact name GILLIAN FORSYTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ADAM BURRACK
CHAIRMAN
3140 CHOWEN AVENUE SOUTH UNIT W234
MINNEAPOLIS MN 55416

Officer/Director/Trustee Two

GILLIAN FORSYTH
SECRETARY AND TREASURER
4020 N CLARK STREET
CHICAGO IL 60613

Officer/Director/Trustee Three

DANIEL ALLYN SCHNEIDER
DIRECTOR
3830 FRANKLIN STREET
DENVER CO 80205

Officer/Director/Trustee Four

MARA LEE SCHWARTZ
DIRECTOR
778 OGDEN STREET
DENVER CO 80209

Organization’s website WWW.YOUGLYCEMIA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 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 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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