FORM 1023-EZ for SANDHILLS HORSE RESCUE

Field Data
EIN 47-5078491
Case Number EO-2015310-000063
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SANDHILLS HORSE RESCUE
Organization’s Mailing Address PO BOX 481
City SOUTHERN PINES
State NC
ZIP 28388
Accounting period End 12
Primary contact name LISA KIVETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA KIVETT
PRESIDENT
PO BOX 481
SOUTHERN PINES NC 28388

Officer/Director/Trustee Two

KIM TEW
TREASURER
723 SEVEN LAKES N
WEST END NC 27376

Officer/Director/Trustee Three

TORI MCLEOD
VICE-PRESIDENT
500 THALIA RD
SPRING LAKE NC 28390

Officer/Director/Trustee Four

KELLI KWAPNIOSKI
SECRETARY
120 SPRING LAKE RD APT 1
PINEHURST NC 28374

Organization’s website WWW.SANDHILLSHORSERESCUE.ORG
Organization’s email INFO@SANDHILLSHORSERESCUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2015
Organization Incorporation State NC
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: No
Religious: No
Educational: No
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 No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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