FORM 1023-EZ for GLEN ROSE YOUTH ASSOCIATION INC

Field Data
EIN 82-1956782
Case Number EO-2021064-001678
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLEN ROSE YOUTH ASSOCIATION INC
Organization’s Mailing Address PO BOX 1720
City MALVERN
State AR
ZIP 72104
Accounting period End 12
Primary contact name BRITTANY CLARDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CODY KITCHENS
PRESIDENT
PO BOX 1720
MALVERN AR 72104

Officer/Director/Trustee Two

MACKINZEY CHANEY
VICE PRESIDENT
374 ROSEWOOD CIRCLE
MALVERN AR 72104

Officer/Director/Trustee Three

BRITTANY CLARDY
TREASURER
16654 HWY 67
MALVERN AR 72104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2017
Organization Incorporation State AR
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: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRITTANY CLARDY
Signature Title TREASURER
Signature Date 1/12/2021
EIN 82-1956782
Case Number EO-2017178-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLEN ROSE YOUTH ASSOCIATION INC
Organization’s Mailing Address 1183 STRINGTOWN ROAD
City MALVERN
State AR
ZIP 72104
Accounting period End 12
Primary contact name TIMMY DAMMONN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID W STAFFORD
PRESIDENT
19837 HWY 67
MALVERN AR 72104

Officer/Director/Trustee Two

TIMMY DAMMONN
BOARD MEMBER
1183 STRINGTOWN ROAD
MALVERN AR 72104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2017
Organization Incorporation State AR
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: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

Recently Saved Organizations

Click on the save icon from a search results or organization page.