FORM 1023-EZ for ASHCREEK PLAYSCHOOL PARENT COOPERATIVE

Field Data
EIN 81-2621880
Case Number EO-2016144-000031
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASHCREEK PLAYSCHOOL PARENT COOPERATIVE
Organization’s Mailing Address PO BOX 433
City BEAVERTON
State OR
ZIP 97075-0433
Accounting period End 8
Primary contact name JENNA HORI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNA HORI
PRESIDENT
8130 SW 147TH TER
BEAVERTON OR 97007-5997

Officer/Director/Trustee Two

ELIZABETH SCHMIDT
PRESIDENT-ELECT
15846 SW BRISTLECONE WAY
PORTLAND OR 97223

Officer/Director/Trustee Three

LESLIE CHAO-DAVIS
SECRETARY
3004 SW FLOWER TER
PORTLAND OR 97239

Officer/Director/Trustee Four

ERIKA LOVOLD
DIRECTOR
14948 SW SCHOLLS FERRY RD K102
BEAVERTON OR 97007

Organization’s website WWW.ASHCREEKPLAYSCHOOL.COM
Organization’s email ASHCREEKPLAYSCHOOL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B21 - Kindergarten, Preschool, Nursery School, Early Admissions
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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