FORM 1023-EZ for MIMS YOUTH ASSOCIATION

Field Data
EIN 85-1763801
Case Number EO-2021161-000300
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIMS YOUTH ASSOCIATION
Organization’s Mailing Address 2415 BOULDER SPRINGS DR
City ELLENWOOD
State GA
ZIP 30294
Accounting period End 12
Primary contact name TIA MIMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIA MIMS
PRESIDENT
2415 BOULDER SPRINGS DR
ELLENWOOD GA 30294

Officer/Director/Trustee Two

TANERA BRIGHT
VICE PRESIDENT
5331 NADER CT
STONE MOUNTAIN GA 30088

Officer/Director/Trustee Three

PATRICIA RICHARDSON
TREASURER
2788 SHELLBARK RD
DECATUR GA 30035

Officer/Director/Trustee Four

TABITHA STROUD
SECRETARY
3458 WALDROP CREEK TRL
DECATUR GA 30034

Organization’s website HTTPS.PLAYYON.COMMIMS-YOUTH-ASSOCIATION
Organization’s email MIMSYOUTHASSOCIATION@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2018
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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 TIA MIMS
Signature Title PRESIDENT
Signature Date 6/8/2021

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