FORM 1023-EZ for HOOTIES HORSE HAVEN INC

Field Data
EIN 84-2810387
Case Number EO-2019291-000159
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOOTIES HORSE HAVEN INC
Organization’s Mailing Address 275 SMITHVILLE ROAD N
City LEESBURG
State GA
ZIP 31763
Accounting period End 12
Primary contact name JOHN H KIRBO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE MORTON
PRESIDENT
275 SMITHVILLE ROAD N
LEESBURG GA 31763

Officer/Director/Trustee Two

JONATHAN LEMUZ
SECRETARY
275 SMITHVILLE ROAD N
LEESBURG GA 31763

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JONATHAN LEMUZ
Signature Title SECRETARY
Signature Date 10/16/19

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