FORM 1023-EZ for UNITED SIXTIES BORN OF GRAND GEDEHCOUNTY IN THE AMERICAS

Field Data
EIN 84-3057889
Case Number EO-2019266-000550
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED SIXTIES BORN OF GRAND GEDEHCOUNTY IN THE AMERICAS
Organization’s Mailing Address 2808 BOSTON AVENUE
City DES MOINES
State IA
ZIP 50310
Accounting period End 9
Primary contact name YING SA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSIE ROBERTS
PRESIDENT
2808 BOSTON AVENUE
DES MOINES IA 50310

Officer/Director/Trustee Two

DEAKONTEE GLEPLAY
TREASURER
2808 BOSTON AVENUE
DES MOINES IA 50310

Officer/Director/Trustee Three

VICTOR JILLAH
SECRETARY
2808 BOSTON AVENUE
DES MOINES IA 50310

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 JESSIE ROBERTS
Signature Title PRESIDENT
Signature Date 9/20/19
EIN 84-3057889
Case Number EO-2019266-000550
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED SIXTIES BORN OF GRAND GEDEH COUNTY IN THE AMERICAS
Organization’s Mailing Address 2808 BOSTON AVENUE
City DES MOINES
State IA
ZIP 50310
Accounting period End 9
Primary contact name YING SA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSIE ROBERTS
PRESIDENT
2808 BOSTON AVENUE
DES MOINES IA 50310

Officer/Director/Trustee Two

DEAKONTEE GLEPLAY
TREASURER
2808 BOSTON AVENUE
DES MOINES IA 50310

Officer/Director/Trustee Three

VICTOR JILLAH
SECRETARY
2808 BOSTON AVENUE
DES MOINES IA 50310

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 JESSIE ROBERTS
Signature Title PRESIDENT
Signature Date 9/20/19

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