FORM 1023-EZ for ZIA YOUTH CENTER INC DBA ZIA YOUTH

Field Data
EIN 82-5176870
Case Number EO-2018136-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZIA YOUTH CENTER INC DBA ZIA YOUTH
Organization’s Mailing Address PO BOX 145
City RATON
State NM
ZIP 87740-145
Accounting period End 12
Primary contact name LINDA HEADLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA HEADLEY
PRESIDENT
540 MOULTON AVE
RATON NM 87740

Officer/Director/Trustee Two

JEFFREY MCLEAN
VICE PRESIDENT
540 MOULTON AVE
RATON NM 87740

Officer/Director/Trustee Three

MIKAN CLEMONS
SECRETARY
629 SOUTH 4TH ST
RATON NM 87740

Officer/Director/Trustee Four

ARON MOTT
DIRECTOR
629 SOUTH 4TH STREET
RATON NM 87740

Officer/Director/Trustee Five

CHRIS HORNER
DIRECTOR
1001 SOUTH 5TH ST
RATON NM 87740

Organization’s website ZIAYOUTH.ORG
Organization’s email ZIA.LINDAH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/18
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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 LINDA HEADLEY
Signature Title PRESIDENT
Signature Date 5/12/18

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