FORM 1023-EZ for RIVERBEND EQUINE THERAPY SERVICES

Field Data
EIN 61-1609848
Case Number EO-2016253-000431
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RIVERBEND EQUINE THERAPY SERVICES
Organization’s Mailing Address 23875 W STATE RT 65
City GRAND RAPIDS
State OH
ZIP 43522
Accounting period End 12
Primary contact name AMANDA THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA THOMPSON
FOUNDER/PRESIDENT
23875 W STATE RT 65
GRAND RAPIDS OH 43522

Officer/Director/Trustee Two

WALLY BELL
DIRECTOR OF BUSINESS DEV
21 CALLANDER CT
PERRYSBURG OH 43551

Officer/Director/Trustee Three

DOUG HANCOCK
VETERANS ORG SERVICE OFFICER
2001 MCINTOSH RD
HOLLAND OH 43528

Officer/Director/Trustee Four

TIM SIKULA
VETERAN LIASON
221 S MCCORD RD
HOLLAND OH 43528

Officer/Director/Trustee Five

JIM KENZIE
MEDIA PR SPECIALIST
10218 ANGOLA RD
SWANTON OH 43558

Organization’s website WWW.HOOVES.US
Organization’s email AMANDA@HOOVES.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2009
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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