FORM 1023-EZ for YOUTH SPORTS SUPPORT INITIATIVE

Field Data
EIN 86-3980108
Case Number EO-2021155-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUTH SPORTS SUPPORT INITIATIVE
Organization’s Mailing Address 17734 68TH PLACE NORTH
City OSSEO
State MN
ZIP 55311
Accounting period End 12
Primary contact name ALEXANDER IVANOV
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDER IVANOV
PRESIDENT
6636 MERRIMAC LANE NORTH
MAPLE GROVE MN 55311

Officer/Director/Trustee Two

MIKHAIL SHTUK
TREASURER
896 TRENTON LANE NORTH
PLYMOUTH MN 55441

Officer/Director/Trustee Three

SVITLANA KARATSUBA
VICE PRESIDENT
15500 37TH AVENUE NORTH APT 115
PLYMOUTH MN 55446

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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 ALEXANDER IVANOV
Signature Title PRESIDENT
Signature Date 6/2/2021

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