FORM 1023-EZ for BOYER VALLEY YOUTH

Field Data
EIN 84-3190090
Case Number EO-2019311-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOYER VALLEY YOUTH
Organization’s Mailing Address 504 N HIGHWAY 30
City DUNLAP
State IA
ZIP 51529
Accounting period End 12
Primary contact name JASON KNICKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON KNICKMAN
PRESIDENT
504 N HIGHWAY 30
DUNLAP IA 51529

Officer/Director/Trustee Two

AMY KOSKI
DIRECTOR
201 S 9TH
DUNLAP IA 51529

Officer/Director/Trustee Three

KELLY MILLER
DIRECTOR
1404 EATON ST
DUNLAP IA 51529

Officer/Director/Trustee Four

DEMI BERENS
DIRECTOR
33053 TEAK AVE
DUNLAP IA 51529

Officer/Director/Trustee Five

HEATHER HARRIS
DIRECTOR
1002 REMSEN ST
DUNLAP IA 51529

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: Yes
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 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 Yes
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 JASON KNICKMAN
Signature Title PRESIDENT
Signature Date 11/5/19

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