FORM 1023-EZ for YOUTH WITH A MISSION

Field Data
EIN 81-2160059
Case Number EO-2017027-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUTH WITH A MISSION
Organization’s Mailing Address 227 SO WEST SILVER LAKE ROAD
City TRAVERSE CITY
State MI
ZIP 49685-8527
Accounting period End 12
Primary contact name REBECCA STONTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN STONTZ
PRESIDENT
3202 SPRAGUE AVE
ANOKA MN 55303-1422

Officer/Director/Trustee Two

ROLAND CILKE
VICE PRESIDENT
3055 PARKER PLACE DRIVE
TRAVERSE CITY MI 49684-7986

Officer/Director/Trustee Three

TIMOTHY BAUER
SECRETARY
75-5787 KAWENA ST
KAILUA-KONA HI 96740

Organization’s website
Organization’s email INFO@YWAMTC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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