FORM 1023-EZ for LAZY Y D BAR HORSE VILLAGE THERAPEUTIC RIDING PROGRAM

Field Data
EIN 85-0627626
Case Number EO-2020310-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAZY Y D BAR HORSE VILLAGE THERAPEUTIC RIDING PROGRAM
Organization’s Mailing Address 39511 HWY 160
City TRINIDAD
State CO
ZIP 81082
Accounting period End 12
Primary contact name MARY COUNTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY COUNTS
VICE PRESIDENT
PO BOX 540
TRINIDAD CO 81082-0540

Officer/Director/Trustee Two

MARK LYLES
PRESIDENT
1414 ARIZONA AVE
TRINIDAD CO 81082-1512

Officer/Director/Trustee Three

ELIZABETH LYLES
SECRETARY
1414 ARIZONA AVE
TRINIDAD CO 81082-1512

Officer/Director/Trustee Four

DEWAYNE HARRIS
TREASURER
33185 OAK PARK DRIVE
TRINIDAD CO 81082-3987

Officer/Director/Trustee Five

NA NA
NA
NA
NA CO 81082-1512

Organization’s website
Organization’s email HORSEVILLAGELAZYYDBAR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name ELIZABETH LYLES
Signature Title SECRETARY
Signature Date 11/2/2020

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