FORM 1023-EZ for AMERICAN CASPIAN HORSE REGISTRY CORP

Field Data
EIN 83-1318924
Case Number EO-2018264-000152
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN CASPIAN HORSE REGISTRY CORP
Organization’s Mailing Address 841 SMITH CREEK ROAD
City TOMPKINSVILLE
State KY
ZIP 42167
Accounting period End 12
Primary contact name SHEILA GAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEILA GAY
PRESIDENT/DIRECTOR
841 SMITH CREEK ROAD
TOMPKINSVILLE KY 42167

Officer/Director/Trustee Two

ADAWN CASEWELL
VICE PRESIDENT/DIRECTOR
1561 SEAMAN FORK ROAD
LEROY WV 25252

Officer/Director/Trustee Three

PATTI STARKEY
SECRETARY/DIRECTOR
14751 N KELSEY STREET
MONROE WA 98272

Officer/Director/Trustee Four

BRENDA GRIGG
TREASURER/DIRECTOR
111 BRADY LOOP RD E
MONTESANO WA 98563

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D31 - Protection of Endangered Species
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHEILA GAY
Signature Title PRESIDENT/DIRECTOR
Signature Date 9/19/18

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