FORM 1023-EZ for PERSONALIZED LEARNING ADVENTURES FOR YOUTH

Field Data
EIN 83-4642200
Case Number EO-2020253-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERSONALIZED LEARNING ADVENTURES FOR YOUTH
Organization’s Mailing Address 625 6TH AVENUE SOUTH
City BROOKINGS
State SD
ZIP 57006
Accounting period End 12
Primary contact name CASSANDRA JUBA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSANDRA JUBA
FOUNDER/EXECUTIVE DIRECTOR
625 6TH AVENUE SOUTH
BROOKINGS SD 57006

Officer/Director/Trustee Two

MEGAN NELSON
BOARD PRESIDENT
21857 465TH AVENUE
VOLGA SD 57071

Officer/Director/Trustee Three

SPENCER GLADIS
BOARD VICE PRESIDENT
1010 4TH STREET
BROOKINGS SD 57006

Officer/Director/Trustee Four

SHELLY BRANDENBURGER
TREASURER/SECRETARY
21605 474TH AVENUE
BROOKINGS SD 57006

Organization’s website
Organization’s email PLAYTUTORINGCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2019
Organization Incorporation State SD
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: 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 CASSANDRA JUBA
Signature Title FOUNDER/EXECUTIVE DIRECTOR
Signature Date 9/7/2020

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