FORM 1023-EZ for CONSCIOUS YOUTH SOLUTIONS INC

Field Data
EIN 81-5361129
Case Number EO-2017186-000067
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONSCIOUS YOUTH SOLUTIONS INC
Organization’s Mailing Address 1400 E 8TH ST
City SIOUX FALLS
State SD
ZIP 57103-8622
Accounting period End 6
Primary contact name LICH TUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LICH TUT
PRESIDENT CEO
1400 E 8TH ST APT 2
SIOUX FALLS SD 57103-8622

Officer/Director/Trustee Two

TOLCHA MESELE
CHAIRMAN
522 N MAIN AVE APT 206
SIOUX FALLS SD 57104-9422

Officer/Director/Trustee Three

MALIK GLASS
SECRETARY
1012 W 8TH ST
SIOUX FALLS SD 57104-9422

Officer/Director/Trustee Four

NICK RICKERT
TREASURER
230 S PHILLIPS AVE APT 510
SIOUX FALLS SD 57104-9422

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2017
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
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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