FORM 1023-EZ for WASHINGTON AREA YOUTH SUPPORTERS INC

Field Data
EIN 46-4121829
Case Number EO-2018274-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHINGTON AREA YOUTH SUPPORTERS INC
Organization’s Mailing Address PO BOX 311
City WASHINGTON
State IA
ZIP 52353-311
Accounting period End 9
Primary contact name KIM HAZELETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN PEIFFER
PRESIDENT
2326 JUNIPER AVE
KEOTA IA 52353-9281

Officer/Director/Trustee Two

BRITTANY GAVIN
VICE PRESIDENT
2231 LARCH AVE
WASHINGTON IA 52353-9276

Officer/Director/Trustee Three

KIM HAZELETT
SECRETARY/TREASURER
2488 ROBBINS CT
WASHINGTON IA 52353-9602

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/13
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIM HAZELETT
Signature Title SECRETARY/TREASURER
Signature Date 9/27/18

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