FORM 1023-EZ for YOUTH UNITED- PNW INC

Field Data
EIN 87-1951365
Case Number EO-2021259-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUTH UNITED- PNW INC
Organization’s Mailing Address 16409 SE DIVISION ST STE 216-193
City PORTLAND
State OR
ZIP 97236
Accounting period End 12
Primary contact name LEKISHA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEKISHA MOORE
CFO & COO
1317 NE 72ND WAY
VANCOUVER WA 98665

Officer/Director/Trustee Two

DONY WILCHER
CEO
12220 SW DENFIELD ST
BEAVERTON OR 97005

Officer/Director/Trustee Three

LISA DELANEY
PRESIDENT & DIRECTOR
1538 SE HOLLY ST
PORTLAND OR 97214

Officer/Director/Trustee Four

RICHARD BONTON
TREASURER & DIRECTOR
66516 NE SISKIYOU CT
PORTLAND OR 97230

Officer/Director/Trustee Five

DAWNNESHA LASUNCET
SECRETARY & DIRECTOR
12220 SW DENFIELD ST
BEAVERTON OR 97005

Organization’s website
Organization’s email M4MCEO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2021
Organization Incorporation State OR
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: No
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 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 LISA DELANEY
Signature Title PRESIDENT & DIRECTOR
Signature Date 9/14/2021

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