FORM 1023-EZ for NEW HORIZON INSTITUTE INC

Field Data
EIN 82-3015468
Case Number EO-2017289-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW HORIZON INSTITUTE INC
Organization’s Mailing Address 12914 N 119TH STREET
City SCOTTSDALE
State AZ
ZIP 85259
Accounting period End 12
Primary contact name JUSTIN D MOODY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN D MOODY
PRESIDENT AND DIRECTOR
3937 CITY VIEW DRIVE
RAPID CITY SD 57701

Officer/Director/Trustee Two

MICHAEL FREIMUTH
TREASURER AND DIRECTOR
10135 WEST 38TH AVEVUE
WHEAT RIDGE CO 80033

Officer/Director/Trustee Three

JACK MORRISION
SECRETARY AND DIRECTOR
714 N 159TH STREET
OMAHA NE 68118

Officer/Director/Trustee Four

RANDY HOUSKA
VICE PRESIDENT AND DIRECTOR
1302 E MAIN STREET
VERMILLION SD 57069

Organization’s website NEWHORIZONDENTAL.ORG
Organization’s email INFO@NEWHORIZONDENTAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative 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 Yes
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
Signature Title
Signature Date

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