| Field | Data |
|---|---|
| EIN | 85-3022959 |
| Case Number | EO-2020265-000215 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MYSTIC REPTILE-AMPHIBIAN RESCUE SHELTER AND EDUCATION CENTER |
| Organization’s Mailing Address | 1924 NE 3RD AVE |
| City | CAMAS |
| State | WA |
| ZIP | 98607 |
| Accounting period End | 12 |
| Primary contact name | LESLIE RICK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
LESLIE RICK
PRESIDENT
1435 NE 4TH AVE
CAMAS WA 98607
DEZHINETTE CHARTRAND
VICE PRESIDENT
11500 SE SUNNYSIDE RD
CLACKAMAS OR 97015
ALEATA JORDAN
SECRETARY
12345 SE BUSH ST
PORTLAND OR 97236
NATOSHA ROGERS
TREASURER
20 UPTON HEIGHTS
LEBANON TN 37087
LISA SWANSON
CO VICE PRESIDENT
1435 NE 4TH AVE
CAMAS WA 98607
| Organization’s website | MYSTICREPTILE-AMPHIBIANRESCUE.ORG |
|---|---|
| Organization’s email | L.RICK@MYSTICREPTILE-AMPHIBIANRESCUE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/15/2020 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D20 - Animal Protection and Welfare |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | 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 | LESLIE RICK |
| Signature Title | PRESIDENT |
| Signature Date | 9/16/2020 |
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