FORM 1023-EZ for BOTHELL YOUTH COURT

Field Data
EIN 47-2762934
Case Number EO-2018267-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOTHELL YOUTH COURT
Organization’s Mailing Address 10116 NE 183RD ST
City BOTHELL
State WA
ZIP 98011-3416
Accounting period End 12
Primary contact name MICHELLE GEHLSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE GEHLSEN
DIRECTOR
10116 NE 183RD ST
BOTHELL WA 98011-3416

Officer/Director/Trustee Two

CAMILLE WALSH
DIRECTOR
10116 NE 183RD ST
BOTHELL WA 98011-3416

Officer/Director/Trustee Three

VICKY SMITH
TREASURER
10116 NE 183RD ST
BOTHELL WA 98011-3416

Officer/Director/Trustee Four

NANCY PIPINCH
DIRECTOR
10116 NE 183RD ST
BOTHELL WA 98011-3416

Officer/Director/Trustee Five

CIENNE BRONSON
PRESIDENT
10116 NE 183RD ST
BOTHELL WA 98011-3416

Organization’s website HTTP://BOTHELLYOUTHCOURT.WEEBLY.COM
Organization’s email BOTHELLYOUTHCOURT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/15
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAMILLE WALSH
Signature Title DIRECTOR
Signature Date 9/20/18
EIN 47-2762934
Case Number EO-2015231-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOTHELL YOUTH COURT
Organization’s Mailing Address 10116 NE 183RD ST
City BOTHELL
State WA
ZIP 98011
Accounting period End 12
Primary contact name MICHELLE GEHLSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE GEHLSEN
DIRECTOR
10116 NE 183RD ST
BOTHELL WA 98011

Officer/Director/Trustee Two

SANDY HAYES
DIRECTOR
13147 NE 145TH PL
KIRKLAND WA 98034

Officer/Director/Trustee Three

CAMILLE WALSH
DIRECTOR
3426 15TH AVE S
SEATTLE WA 98144

Officer/Director/Trustee Four

JOHN MESSNER
DIRECTOR
BHS/ 9130 NE 180TH ST
BOTHELL WA 98011

Officer/Director/Trustee Five

EILEEN JOWELL
DIRECTOR
3330 MONTE VILLA PARKWAY
BOTHELL WA 98011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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