FORM 1023-EZ for UNITED FOR YOUTH ASSOCIATION

Field Data
EIN 47-5412386
Case Number EO-2018284-000107
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED FOR YOUTH ASSOCIATION
Organization’s Mailing Address 1508 EAST WALL ST
City FORT SCOTT
State KS
ZIP 66701
Accounting period End 12
Primary contact name FREDERICK CULLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FREDERICK CULLER
PRESIDENT
1508 E WALL ST
FORT SCOTT KS 66701

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/14
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name FREDERICK CULLER
Signature Title PRESIDENT
Signature Date 10/9/18
EIN 47-5412386
Case Number EO-2016004-000139
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNITED FOR YOUTH ASSOCIATION
Organization’s Mailing Address 1508 EAST WALL STREET
City FORT SCOTT
State KS
ZIP 66701
Accounting period End 12
Primary contact name FREDERICK CULLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FREDERICK CULLER
PRESIDENT
1506 EAST WALL STREET
FORT SCOTT KS 66701

Officer/Director/Trustee Two

DEANNA ROBBINS
VICE PRESIDENT
1103 NORTH ELM STREET APT5
NEVADA MO 64772

Officer/Director/Trustee Three

MELISSA PAYNE
TREASURER
1200 EAST LOCUST STREET
NEVADA MO 64772

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2014
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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