FORM 1023-EZ for TIME WITH TAILS A NONPROFIT CORPORATION

Field Data
EIN 84-2150439
Case Number EO-2019183-000064
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIME WITH TAILS A NONPROFIT CORPORATION
Organization’s Mailing Address 8400 LITTLEROCK RD SW
City OLYMPIA
State WA
ZIP 98512
Accounting period End 12
Primary contact name CONNIE RIKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONNIE RIKER
PRESIDENT, DIR, EXECUTIVE DIRECTOR
9801 JAMES RD SW
ROCHESTER WA 98579

Officer/Director/Trustee Two

RICHA SHARMA
TREASURER, DIRECTOR
3319 W 187TH STREET
TORRANCE CA 90504-5824

Officer/Director/Trustee Three

BRITTA NOSBAUM
DIRECTOR
2825 DUELL AVENUE
MEDFORD OR 97501

Officer/Director/Trustee Four

ANGEL NALLY
DIRECTOR
4550 14TH AVE SE
LACEY WA 98503

Officer/Director/Trustee Five

JUDY RIKER
SECRETARY - EX OFFICIO BOARD MEMBER
1719 4TH AVE E
OLYMPIA WA 98506

Organization’s website WWW.TIMEWITHTAILS.ORG
Organization’s email INFO@TIMEWITHTAILS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 CONNIE RIKER
Signature Title PRESIDENT, DIR, EXECUTIVE DIRECTOR
Signature Date 6/30/19

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