FORM 1023-EZ for COMMUNITY YOUTH ADVANCEMENT ORGANIZATION INC

Field Data
EIN 84-3067207
Case Number EO-2020132-000437
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY YOUTH ADVANCEMENT ORGANIZATION INC
Organization’s Mailing Address 6770 STILLWATER BLVD N STE 105
City STILLWATER
State MN
ZIP 55082-5440
Accounting period End 12
Primary contact name DEANA NICHOLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANA NICHOLSON
PRESIDENT
3212 5TH AVENUE S
MINNEAPOLIS MN 55408-3247

Officer/Director/Trustee Two

DEANA NICHOLSON
VICE PRESIDENT
3212 5TH AVENUE S
MINNEAPOLIS MN 55408-3247

Officer/Director/Trustee Three

DIANA TANSKLEY
TREASURER
3212 5TH AVENUE S
MINNEAPOLIS MN 55408-3247

Officer/Director/Trustee Four

LISA WHITE
SECRETARY
3212 5TH AVENUE S
MINNEAPOLIS MN 55408-3247

Organization’s website
Organization’s email DEANA.NICHOLSON@COMMUNITYYOUTHADVANCEMENT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2000
Organization Incorporation State MN
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: 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 Yes
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 DEANA NICHOLSON
Signature Title VICE PRESIDENT
Signature Date 5/8/2020

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