FORM 1023-EZ for MINI HOOVES BIG HEARTS THERAPY MINIS

Field Data
EIN 82-3612761
Case Number EO-2020315-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINI HOOVES BIG HEARTS THERAPY MINIS
Organization’s Mailing Address 646 CHURCH GROVE ROAD
City NEWBERN
State TN
ZIP 38059
Accounting period End 12
Primary contact name ANDREA JO GIBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA GIBSON
EXECUTIVE DIRECTOR
646 CHURCH GROVE ROAD
NEWBERN TN 38059

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 ANDREA GIBSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/6/2020
EIN 82-3612761
Case Number EO-2018113-000477
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINI HOOVES BIG HEARTS THERAPY MINIS
Organization’s Mailing Address 646 CHURCH GROVE ROAD
City NEWBERN
State TN
ZIP 38059
Accounting period End 12
Primary contact name ANDREA GIBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA GIBSON
REGISTERED AGENT
646 CHURCH GROVE RD
NEWBERN TN 38059

Officer/Director/Trustee Two

LEE ANN HARRISON
MEMBER
2965 MILL CREEK ROAD
HALLS TN 38040

Officer/Director/Trustee Three

KELLI SPICER
MEMBER
108 WEST HILLS TERRACE
DICKSON TN 37055

Officer/Director/Trustee Four

RHETT GIBSON
MEMBER
801 EAST EIGHTH STREET
CHATTANOOGA TN 37403

Organization’s website
Organization’s email MINIHOOVESBIGHEARTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/17
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREA GIBSON
Signature Title REGISTERED AGENT
Signature Date 4/19/18

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