FORM 1023-EZ for SPACE IN BETWEEN

Field Data
EIN 47-4960364
Case Number EO-2019113-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPACE IN BETWEEN
Organization’s Mailing Address 2020 E 3300 S SUITE 20
City SALT LAKE CITY
State UT
ZIP 84139
Accounting period End 12
Primary contact name REBECCA SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARLENE SCOTT
OFFICER
1161 S 2000 W
DELTA UT 84624

Officer/Director/Trustee Two

SARAH SCOTT
OFFICER
14955 OLD MOHLER RD
NAHALEM OR 97131

Officer/Director/Trustee Three

REBECCA SCOTT
DIRECTOR
2020 E 3300 S
SALT LAKE CITY UT 84139

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/15
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REBECCA SCOTT
Signature Title DIRECTOR
Signature Date 4/21/19
EIN 47-4960364
Case Number EO-2017124-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPACE IN BETWEEN
Organization’s Mailing Address 2020 E 3300 S STE 20
City SLC
State UT
ZIP 84109
Accounting period End 12
Primary contact name REBECCA SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARLENE SCOTT
OFFICER
1161 S 2000 W
DELTA UT 84624

Officer/Director/Trustee Two

SARAH SCOTT
OFFICER
14955 OLD MOHLER RD
NAHALEM OR 97131

Officer/Director/Trustee Three

REBECCA SCOTT
DIRECTOR
2020 EAST 3300 SOUTH
SALT LAKE CITY UT 84109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2015
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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
Signature Title
Signature Date

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