FORM 1023-EZ for MID COLUMBIA FRIENDS OF YOUTH

Field Data
EIN 91-1879040
Case Number EO-2018136-000352
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID COLUMBIA FRIENDS OF YOUTH
Organization’s Mailing Address 2555 HWY 24
City OTHELLO
State WA
ZIP 99344-9934
Accounting period End 12
Primary contact name TOM SOLBRACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM SOLBRACK
PRESIDENT
2555 HWY 24
OTHELLO WA 99344-9934

Officer/Director/Trustee Two

JAMES KLAUSTERMEGER
VICE PRESIDENT
610 BUFFALO RD
MESA WA 99343-9613

Officer/Director/Trustee Three

PAUL FLATAU
TREASURER
1151 DAVIS LN
MESA WA 99343-9613

Officer/Director/Trustee Four

BRAD BAILIE
SECRETARY
PO BOX 1273
CONNELL WA 99326-1273

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/96
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
Organization’s purpose Charitable: No
Religious: Yes
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 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 BRAD BAILIE
Signature Title SECRETARY
Signature Date 5/11/18

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