FORM 1023-EZ for ILLINOIS VALLEY YOUTH ENRICHMENT ASSOCIATION

Field Data
EIN 83-2646322
Case Number EO-2019177-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ILLINOIS VALLEY YOUTH ENRICHMENT ASSOCIATION
Organization’s Mailing Address 223N REDWOOD HWY NUM 1459
City CAVE JUNCTION
State OR
ZIP 97523
Accounting period End 12
Primary contact name MONIQUE ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK ALLEN
PRESIDENT
1361 QUINCY ST APT 9F
ASHLAND OR 97520

Officer/Director/Trustee Two

ERIC BECK
VICE-PRESIDENT
223N REDWOOD HWY PMB161
CAVE JUNCTION OR 97523

Officer/Director/Trustee Three

MONIQUE ALLEN
SECRETARY
37367 REDWOOD HWY
OBRIEN OR 97534

Organization’s website WWW.CAVENET.COM/IVYEA
Organization’s email IVYEA@CAVENET.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/16
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 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 MONIQUE ALLEN
Signature Title SECRETARY
Signature Date 6/22/19

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