FORM 1023-EZ for LEILANI MAE HORSE RESCUE

Field Data
EIN 46-4265156
Case Number EO-2020231-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEILANI MAE HORSE RESCUE
Organization’s Mailing Address 9248 EAST REEVES BRIDGE RD
City LINDEN
State NC
ZIP 28356-9186
Accounting period End 12
Primary contact name DEBORAH GILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH GILLIS
DIRECTOR
9248 EAST REEVES BRIDGE RD
LINDEN NC 28356

Officer/Director/Trustee Two

EMILY WILMOT
ADOPTION COORDINATOR
408 GLENOLA ST
FAYETTEVILLE NC 28311

Officer/Director/Trustee Three

JENNIFER BLOMME
ADMINISTRATOR
58 SANSBURG PLACE
LILLINGTON NC 27546

Officer/Director/Trustee Four

DEBORAH RUSH
TREASURER
1315 LUMUEL BLACK RD
BUNNLEVEL NC 28323-8548

Organization’s website
Organization’s email LEILANIMAERESCUE@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2013
Organization Incorporation State NC
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBORAH GILLIS
Signature Title DIRECTOR
Signature Date 8/15/2020

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