FORM 1023-EZ for THE SERENITY RANCH

Field Data
EIN 83-0724477
Case Number EO-2018257-000397
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SERENITY RANCH
Organization’s Mailing Address 4430 RIVER ROAD
City BOZEMAN
State MT
ZIP 59718
Accounting period End 5
Primary contact name LISA LEDOUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSANNE CARTER
EXECUTIVE DIRECTOR
4430 RIVER ROAD
BOZEMAN MT 59718

Officer/Director/Trustee Two

LISA LEDOUX
VICE PRESIDENT COO
59 E CROSS TOWN COURT
BELGRADE MT 59714

Officer/Director/Trustee Three

RAEGAN BLOOM
TREASURER
PO BOX 11389
BOZEMAN MT 59719

Officer/Director/Trustee Four

AJ MATOSICH
SECRETARY
529 E MAIN STREET
BOZEMAN MT 59715

Officer/Director/Trustee Five

MICAH FINK
DIRECTOR
125 S BROADWAY ST UNIT 3
MANHATTAN MT 59741

Organization’s website WWW.THESERENITYRANCH.ORG
Organization’s email LINFO@THESERENITYRANCH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/18
Organization Incorporation State MT
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: Yes
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 Yes
Donation of funds Yes
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 LISA LEDOUX
Signature Title VICE PRESIDENT COO
Signature Date 9/12/18

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