FORM 1023-EZ for BLACK HORSE ACRES INC

Field Data
EIN 45-1747949
Case Number EO-2020051-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK HORSE ACRES INC
Organization’s Mailing Address 1169 BRODERICK RD
City OMRO
State WI
ZIP 54963
Accounting period End 12
Primary contact name LESLIE BLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLIE BLACK
PRESIDENT
1169 BRODERICK RD
OMRO WI 54963-1091

Officer/Director/Trustee Two

ROBERT BLACK
VICE PRESIDENT
1169 BRODERICK RD
OMRO WI 54963-1091

Officer/Director/Trustee Three

VICKI BLACK
SECRETARY
6752 WENTZEL SHORE RD
WINNECONNE WI 54986-9571

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related 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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name LESLIE BLACK
Signature Title PRESIDENT
Signature Date 2/18/2020
EIN 45-1747949
Case Number EO-2015212-000510
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLACK HORSE ACRES INC
Organization’s Mailing Address 1169 BRODERICK ROAD
City OMRO
State WI
ZIP 54963
Accounting period End 12
Primary contact name LESLIE BLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LESLIE BLACK
PRESIDENT
1169 BRODERICK ROAD
OMRO WI 54963

Officer/Director/Trustee Two

ROBERT BLACK
VICE-PRESIDENT
1169 BRODERICK ROAD
OMRO WI 54923

Officer/Director/Trustee Three

VICKIE BLACK
SECRETARY
6752 WENTZEL SHORE ROAD
WINNECONNE WI 54986

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N69 - Equestrian, Riding
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 Yes
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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