FORM 1023-EZ for NORTHWEST YOUTH LEADERSHIP CLUB

Field Data
EIN 83-0984807
Case Number EO-2018183-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST YOUTH LEADERSHIP CLUB
Organization’s Mailing Address 14512 SE 45TH PL
City BELLEVUE
State WA
ZIP 98006
Accounting period End 12
Primary contact name HANSI MEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YING HU
PRESIDENT
14512 SE 45TH PL
BELLEVUE WA 98006

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/18
Organization Incorporation State WA
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: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 YING HU
Signature Title PRESIDENT
Signature Date 6/28/18

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