FORM 1023-EZ for CIRCLE OF LIFE FOR SECOND CHANCES

Field Data
EIN 84-4333338
Case Number EO-2020097-000104
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIRCLE OF LIFE FOR SECOND CHANCES
Organization’s Mailing Address 8318 97TH ST SW
City LAKEWOOD
State WA
ZIP 98498
Accounting period End 12
Primary contact name SHANDRIKA DEMMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANDRIKA DEMMER
EXECUTIVE DIRECTOR/ OWNER
12111 104TH AVE E APT B 106
PUYALLUP WA 98374

Officer/Director/Trustee Two

LAWRENCE JENKINS
PRESIDENT
8318 97TH ST SW
LAKEWOOD WA 98498

Officer/Director/Trustee Three

ALETA HASKINS
TREASURER
8318 97TH ST SW
LAKEWOOD WA 98498

Officer/Director/Trustee Four

RONITA BOULLT
BOARD MEMBER
20113 96TH AVE EAST
GRAHAM WA 98338

Organization’s website
Organization’s email COLGF0708@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 SHANDRIKA DEMMER
Signature Title EXECUTIVE DIRECTOR/ OWNER
Signature Date 4/1/2020

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