FORM 1023-EZ for CREATIVE HABITAT
| Field | Data |
|---|---|
| EIN | 82-4798573 |
| Case Number | EO-2018107-000822 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CREATIVE HABITAT |
| Organization’s Mailing Address | PO BOX 1142 |
| City | WAUKEE |
| State | IA |
| ZIP | 50263 |
| Accounting period End | 12 |
| Primary contact name | REBECCA WOLFORD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMIE SACHS
PRESIDENT
2050 E LA CADENA DRIVE
RIVERSIDE CA 92507
Officer/Director/Trustee Two
JEN MUELLER
VICE PRESIDENT
1105 NE TRAILWOOD ST
LEE'S SUMMIT MO 64086
Officer/Director/Trustee Three
HEATHER NEREM
SECRETARY
16008 NORTH VALLEY DRIVE
URBANDALE IA 50323
Officer/Director/Trustee Four
JOANN HAYDEN
TREASURER
2090 SE 11TH STREET
WEST DES MOINES IA 50265
Officer/Director/Trustee Five
REBECCA WOLFORD
EXECUTIVE DIRECTOR
PO BOX 1142
WAUKEE IA 50263
| Organization’s website | WWW.CREATIVEHABITAT.ORG |
|---|---|
| Organization’s email | RWOLFORD@CREATIVEHABITAT.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/1/18 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P33 - Child Day Care |
| 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 | 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 | REBECCA WOLFORD |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 3/29/18 |
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