FORM 1023-EZ for YOUNG WIDOW LIVING FOUNDATION

Field Data
EIN 81-2629712
Case Number EO-2016161-000399
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUNG WIDOW LIVING FOUNDATION
Organization’s Mailing Address 309 COURT AVENUE STE 811
City DES MOINES
State IA
ZIP 50309-2222
Accounting period End 12
Primary contact name ERIN WELKEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VERNA HULTMAN
COO
16031 LAKE BLVD
CENTER CITY MN 55012-9645

Officer/Director/Trustee Two

EMILY HONERBRINK
CREATIVE DIRECTOR
6506 GOODWIN LN
WYOMING MN 55092-8386

Officer/Director/Trustee Three

JONATHAN CHASE
CFO
6565 JAMES RD
BETTENDORF IA 52722-6225

Officer/Director/Trustee Four

ERIN WELKEN
CEO
6565 JAMES RD
BETTENDORF IA 52722-6225

Organization’s website N/A
Organization’s email ERIN@YOUNGWIDOWLIVING.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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