FORM 1023-EZ for MOUNTAIN YOUTH OUTFITTERS

Field Data
EIN 85-4289817
Case Number EO-2021079-000102
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNTAIN YOUTH OUTFITTERS
Organization’s Mailing Address 30421 E HWY 20
City REPUBLIC
State WA
ZIP 99166
Accounting period End 12
Primary contact name RICHARD EICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD EICH
CHAIRMAN
30421 E HWY 20
REPUBLIC WA 99166

Officer/Director/Trustee Two

JOHN FRIEDERICHS
SECRETARY
16 COVENTRY LANE
REPUBLIC WA 99166

Officer/Director/Trustee Three

DAVID HEINEN
TREASURER
PO BOX 826
REPUBLIC WA 99166

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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 RICHARD EICH
Signature Title CHAIRMAN
Signature Date 1/25/2021

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