FORM 1023-EZ for SCOOTERS PLACE
| Field | Data |
|---|---|
| EIN | 47-4702960 |
| Case Number | EO-2018299-000137 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SCOOTERS PLACE |
| Organization’s Mailing Address | 1111-244TH ST SW UNIT B |
| City | BOTHELL |
| State | WA |
| ZIP | 98021 |
| Accounting period End | 12 |
| Primary contact name | JEANINE JUDKINS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEANINE JUDKINS
PRES/EXEC DIRECTOR
1111-244TH ST SW UNIT B
BOTHELL WA 98021
Officer/Director/Trustee Two
AMY BARBER
VICE PRES
13220-271 ST AVE SE
MONROE WA 98272
Officer/Director/Trustee Three
LESLI VERELLEN
SECT/TREASURER
14030-194TH AVE NE
WOODINVILLE WA 98077
Officer/Director/Trustee Four
MICHELLE DELETTREZ
BOARD MEMBER
15116-210TH AVE NE
WOODINVILLE WA 98005
Officer/Director/Trustee Five
CARRIE MIZENKO
FOUNDER/HONORARY BD MEMBER
19801 NE 155TH PLACE
WOODINVILLE WA 98077
| Organization’s website | SCOOTERSPLACE.ORG |
|---|---|
| Organization’s email | SCOOTERSPLACENP@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/10/15 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N69 - Equestrian, Riding |
| 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 | 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JEANINE JUDKINS |
| Signature Title | PRES/EXEC DIRECTOR |
| Signature Date | 10/24/18 |
| EIN | 47-4702960 |
| Case Number | EO-2015245-000353 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SCOOTERS PLACE |
| Organization’s Mailing Address | 19801 NE 155TH PLACE |
| City | WOODINVILLE |
| State | WA |
| ZIP | 98077 |
| Accounting period End | 12 |
| Primary contact name | CARRIE MIZENKO |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
CARRIE MIZENKO
DIRECTOR
19801 NE 155TH PLACE
WOODINVILLE WA 98077
| Organization’s website | |
|---|---|
| Organization’s email | CARRIEAMIZ@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/1/2015 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D60 - Other Services - Specialty Animals |
| Organization’s purpose | Charitable: No 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 | 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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