FORM 1023-EZ for GOODING YOUTH ASSOCIATION INC

Field Data
EIN 82-4770328
Case Number EO-2018234-000265
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOODING YOUTH ASSOCIATION INC
Organization’s Mailing Address 2165 SOUTH 1800 EAST
City GOODING
State ID
ZIP 83330
Accounting period End 12
Primary contact name JIM BROCKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM BROCKMAN
PRESIDENT
2165 SOUTH 1800 EAST
GOODING ID 83330

Officer/Director/Trustee Two

DAVID HULTS
CO PRESIDENT
1572 EAST 1700 SOUTH
GOODING ID 83330

Officer/Director/Trustee Three

DON GILL
CO PRESIDENT
201 LUCY LANE
GOODING ID 83330

Officer/Director/Trustee Four

JESSICA BROCKMAN
TRESURER
2165 S 1800 E
GOODING ID 83330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/18
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name JIM BROCKMAN
Signature Title PRESIDENT
Signature Date 8/20/18

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