FORM 1023-EZ for DESTINACIONS THERAPY & MAYBELLS MISSION

Field Data
EIN 84-3202829
Case Number EO-2019322-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DESTINACIONS THERAPY & MAYBELLS MISSION
Organization’s Mailing Address 8315 LAKEVIEW DR
City COLO SPGS
State CO
ZIP 80908
Accounting period End 12
Primary contact name JENNIFER R WOLF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER WOLF
DIRECTOR
8315 LAKEVIEW DR
COLO SPGS CO 80908

Officer/Director/Trustee Two

SCOTT SUNDSETH
CO-OWNER
8315 LAKEVIEW DRIVE
COLORADO SPRINGS CO 80908

Officer/Director/Trustee Three

DIANE KERKHOF
SECRETARY
8030 TANNENBAUM ROAD
COLORADO SPRINGS CO 80908

Officer/Director/Trustee Four

BEN KERKHOF
TREASURER
8030 TANNENBAUM ROAD
COLORADO SPRINGS CO 80908

Organization’s website DESTINACIONSEQUINETHERAPY.COM
Organization’s email DESTINACIONSET@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER WOLF
Signature Title DIRECTOR
Signature Date 11/15/19

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