FORM 1023-EZ for AMERICAN TRIBE EQUINE THERAPY INC

Field Data
EIN 83-2689041
Case Number EO-2018337-000428
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN TRIBE EQUINE THERAPY INC
Organization’s Mailing Address 308 EAST MAIN ST
City BEAVERVILLE
State IL
ZIP 60912
Accounting period End 6
Primary contact name VICKIE BURNETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICKIE BURNETTE
PRESIDENT
308 EAST MAIN ST
BEAVERVILLE IL 60912

Officer/Director/Trustee Two

JENNIFER INGRAM
SECRETARY
PO BOX 272
DONOVAN IL 60931

Officer/Director/Trustee Three

RITA NORDER
DIRECTOR
PO BOX 244
WATSEKA IL 60970

Officer/Director/Trustee Four

SUE ROSALIUS
DIRECTOR
2018 SOUTH OPPYVILLE ROAD
WATSEKA IL 60970

Officer/Director/Trustee Five

TONY WILLIAMS
DIRECTOR
408 E WALNUT ST
WATSEKA IL 60970

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TONY WILLIAMS
Signature Title DIRECTOR
Signature Date 11/30/18

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