FORM 1023-EZ for ONE MORE TIME INCORPORATED

Field Data
EIN 82-3244923
Case Number EO-2017320-000515
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE MORE TIME INCORPORATED
Organization’s Mailing Address 11981 N KELLY RAE DR
City HAYDEN
State ID
ZIP 83835
Accounting period End 12
Primary contact name TIFFINAY WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFINAY WALKER
CHIEF EXECUTIVE OFFICE
11981 N KELLY RAE DR
HAYDEN ID 83835

Officer/Director/Trustee Two

JULIE BECK
BOARD MEMBER
3295 N ALFALFA DR
POST FALLS ID 83854

Officer/Director/Trustee Three

CASSIE BASLER
BOARD MEMBER
2026 TEANAWAY DR
POST FALLS ID 83854

Officer/Director/Trustee Four

REBECCA GEORGIOUS
BOARD MEMBER
2900 N GOVERNMENT WAY 329
CDA ID 83814

Officer/Director/Trustee Five

AMY BARTOO
BOARD MEMBER
2028 E BEST AVE
CDA ID 83814

Organization’s website NA
Organization’s email ONEMORETIMECDA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2017
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 Yes
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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