FORM 1023-EZ for TIME YOUTH DOTHAN INC

Field Data
EIN 84-3460943
Case Number EO-2019318-000161
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIME YOUTH DOTHAN INC
Organization’s Mailing Address 2502 FLYNN ROAD
City DOTHAN
State AL
ZIP 36303
Accounting period End 12
Primary contact name ULRIKE STEINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN PATTERSON
PRESIDENT
2502 FLYNN ROAD
DOTHAN AL 36303

Officer/Director/Trustee Two

KERICKA ALFRED
VICE-PRESIDENT
2502 FLYNN ROAD
DOTHAN AL 36303

Officer/Director/Trustee Three

MELISSA MOSLEY
SECRETARY/TREASURER
2502 FLYNN ROAD
DOTHAN AL 36303

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 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 NATHAN PATTERSON
Signature Title PRESIDENT
Signature Date 11/12/19

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