FORM 1023-EZ for COCOON YOUTH STORYTELLING

Field Data
EIN 47-3338896
Case Number EO-2015119-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COCOON YOUTH STORYTELLING
Organization’s Mailing Address 5205 N GAY AVE
City PORTLAND
State OR
ZIP 97217
Accounting period End 7
Primary contact name RENEE JENKINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RENEE JENKINSON
EXECUTIVE DIRECTOR
5205 N Gay Ave
PORTLAND OR 97217

Officer/Director/Trustee Two

ARTHUR BRADFORD
BOARD MEMBER
3666 SE MARTINS ST
PORTLAND OR 97202-7642

Officer/Director/Trustee Three

BELLE CHESLER
BOARD MEMBER
1336 N FARRAGUT ST
PORTLAND OR 97217

Organization’s website WWW.COCOONYOUTHSTORYTELLING.ORG
Organization’s email HELLO@COCOONYOUTHSTORYTELLING.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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