FORM 1023-EZ for CLAWSON YOUTH ASSISTANCE

Field Data
EIN 83-2867933
Case Number EO-2019052-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLAWSON YOUTH ASSISTANCE
Organization’s Mailing Address 625 PHILLIPS AVE
City CLAWSON
State MI
ZIP 48017
Accounting period End 6
Primary contact name PENNY LUEBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PENNY LUEBS
CHAIRPERSON
639 HENDRICKSON AVE
CLAWSON MI 48017

Officer/Director/Trustee Two

ASHLEY KARAS
SECRETARY
202 GLADWIN AVE
CLAWSON MI 48017

Officer/Director/Trustee Three

JONATHAN NOFZ
TREASURER
2936 ASHBURY DR
TROY MI 48083

Organization’s website HTTP://WWW.CITYOFCLAWSON.COM/YOUR_COMMUNITY/YOUTH_ASSISTANCE/INDEX.PHP?FBCLID=IWAR3ZZ31TF5AK_MTP0LZ1PCRMB85T8XDWCURKPPNVKGWEPNSPPH23W-W4EMK
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/60
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PENNY LUEBS
Signature Title CHAIRPERSON
Signature Date 2/17/19

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