FORM 1023-EZ for MUALAYNU YOUTH INITIATIVE

Field Data
EIN 82-0650809
Case Number EO-2017335-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MUALAYNU YOUTH INITIATIVE
Organization’s Mailing Address 825 SEAL ST NO 410
City ST PAUL
State MN
ZIP 55114
Accounting period End 12
Primary contact name BURLEIGH HOLDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BURLEIGH HOLDER
BOARD MEMBER
825 SEAL ST NO 410
ST PAUL MN 55114

Officer/Director/Trustee Two

ABDULLAH KIATAMBA
BOARD MEMBER
8401 73RD AVE N
BROOKLYN PARK MN 55428

Officer/Director/Trustee Three

EIZU SHAW
BOARD MEMBER
8557 TESSMAN FARM RD
BROOKLYN PARK MN 55445

Officer/Director/Trustee Four

ANGELIQUE COOPER
BOARD MEMBER
12126 YUKON AVE N
CHAMPLIN MN 55316

Officer/Director/Trustee Five

FATA ACQUI
BOARD MEMBER
1754 LARPENTEUR AVE E
ST PAUL MN 55109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 Yes
One Third Support Gifts No
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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