FORM 1023-EZ for MEDINAH YOUTH GROUP INCORPORATED

Field Data
EIN 30-0955070
Case Number EO-2016300-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEDINAH YOUTH GROUP INCORPORATED
Organization’s Mailing Address 1515 NORTH MARKET STREET
City SAINT LOUIS
State MO
ZIP 63106-3152
Accounting period End 12
Primary contact name KARL REID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERMYN JOHNSON
PRESIDENT
51 WESTDELL DRIVE
SAINT LOUIS MO 63136-1936

Officer/Director/Trustee Two

KARL REID
SECRETARY
1021 NORTH MCKNIGHT 1K
SAINT LOUIS MO 63132-4006

Officer/Director/Trustee Three

KEITH WHITE
TREASURER
372 SOUTH HARVEY
SAIINT LOUIS MO 63135-2510

Officer/Director/Trustee Four

LISA TATE
DIRECTOR
5050 DURANT
SAINT LOUIS MO 63115

Officer/Director/Trustee Five

LEWIS JOHNSON JR
DIRECTOR
2433 COUNTRY WOODS DR
MARYLAND HEIGHTS MO 63043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
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 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 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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