FORM 1023-EZ for LOST SOLES HORSE RESCUE

Field Data
EIN 83-4444263
Case Number EO-2019112-000370
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOST SOLES HORSE RESCUE
Organization’s Mailing Address 6515 TRUAX ROAD
City CENTRAL POINT
State OR
ZIP 97502
Accounting period End 12
Primary contact name KYMBER MAYBERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYMBER MAYBERRY
OFFICER
6515 TRUAX RD
CENTRAL POINT OR 97502

Officer/Director/Trustee Two

TONYA BILLS
OFFICER
6515 TRUAX ROAD
CENTRAL POINT OR 97502

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/19
Organization Incorporation State OR
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 KYMBER MAYBERRY
Signature Title OFFICER
Signature Date 4/17/19

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