FORM 1023-EZ for BLACK MOUNTAIN VIEW FARM DRAFT RESCUE INC

Field Data
EIN 84-1790476
Case Number EO-2019182-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK MOUNTAIN VIEW FARM DRAFT RESCUE INC
Organization’s Mailing Address 11819 WHATES LANE
City THURMONT
State MD
ZIP 21788
Accounting period End 12
Primary contact name KELLY BLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY BLACK
PRESIDENT
11819 WHATES LANE
THURMONT MD 21788

Officer/Director/Trustee Two

LAURIE COHN
VICE-PRES
8819 B ROCKY RIDGE RD
ROCKY RIDGE MD 21788

Officer/Director/Trustee Three

DONA ABARCA
SECRETARY
217 WESTVIEW DR
THURMONT MD 21788

Officer/Director/Trustee Four

ERIC BLACK
TREASURER
11819 WHATES LANE
THURMONT MD 21788

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/19
Organization Incorporation State MD
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: Yes
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 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 KELLY BLACK
Signature Title PRESIDENT
Signature Date 6/26/19

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