FORM 1023-EZ for DEPEW YOUTH ASSOCIATION

Field Data
EIN 85-3303641
Case Number EO-2020302-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEPEW YOUTH ASSOCIATION
Organization’s Mailing Address PO BOX 565
City DEPEW
State OK
ZIP 74028
Accounting period End 12
Primary contact name AMANDA CARRIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA COOPER
DIRECTOR
26479 S 465TH WEST AVE
DEPEW OK 74028

Officer/Director/Trustee Two

AMANDA CARRIE
EXECUTIVE DIRECTOR
25831 S 465TH WEST AVE
DEPEW OK 74028

Officer/Director/Trustee Three

AMBER PARRICK
SECRETARY
26494 S 433RD WEST AVE
DEPEW OK 74028

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2020
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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 AMANDA CARRIE
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/26/2020

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