FORM 1023-EZ for TRAIZEN HAVEN
| Field | Data |
|---|---|
| EIN | 85-2756862 |
| Case Number | EO-2020295-000697 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TRAIZEN HAVEN |
| Organization’s Mailing Address | 15620 NE 165TH STREET |
| City | WOODINVILLE |
| State | WA |
| ZIP | 98072 |
| Accounting period End | 12 |
| Primary contact name | TRAISA BROCKMANN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TRAISA BROCKMANN
BOARD PRESIDENT/DIRECTOR
15620 NE 165TH STREET
WOODINVILLE WA 98072
Officer/Director/Trustee Two
KANDICE MCCUE
TREASURER/SECRETARY
13318 N MANZANITA LANE
FOUNTAIN HILLS AZ 85268
Officer/Director/Trustee Three
CHRIS ALDRICH
BOARD
7575 WOTHERSPOON DRIVE NE
KEIZER OR 97303
Officer/Director/Trustee Four
LEGIA HUBLER
BOARD
55 RAVENS RIDGE ROAD
SEQUIM WA 98382
Officer/Director/Trustee Five
TERRI WERNER
BOARD
1201 DARTMOUTH ROAD
ALEXANDRIA VA 22314
| Organization’s website | WWW.TRAIZEN.ORG |
|---|---|
| Organization’s email | TRAISA.BROCKMANN@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/17/2020 |
| 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: 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 | 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 | TRAISA BROCKMANN |
| Signature Title | BOARD PRESIDENT/DIRECTOR |
| Signature Date | 10/14/2020 |
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