FORM 1023-EZ for SOUTH HILL YOUTH OUTREACH CENTER

Field Data
EIN 87-1210621
Case Number EO-2021208-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH HILL YOUTH OUTREACH CENTER
Organization’s Mailing Address 12706 94TH AVE EAST
City PUYALLUP
State WA
ZIP 98373
Accounting period End 12
Primary contact name DAVID BOUCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH SMITH
EXECUTIVE DIRECTOR
12706 94TH AVE EAST
PUYALLUP WA 98373

Officer/Director/Trustee Two

AMBER BUTCHER
SECRETARY
12706 94TH AVE EAST
PUYALLUP WA 98373

Officer/Director/Trustee Three

DUANE BUTCHER
TREASURER
12706 94TH AVE EAST
PUYALLUP WA 98373

Organization’s website
Organization’s email SUMMITBOXING@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KENNETH SMITH
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/25/2021

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