FORM 1023-EZ for HORTONS REHAB RANCH INC

Field Data
EIN 83-2892150
Case Number EO-2019030-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HORTONS REHAB RANCH INC
Organization’s Mailing Address 216 PROMISED LAND RD
City WILLARD
State NC
ZIP 28478
Accounting period End 12
Primary contact name JESSICA BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEWELL HORTON
PRESIDENT
216 PROMISED LAND RD
WILLARD NC 28478

Officer/Director/Trustee Two

DAWN RIVENBARK
TREASURER
221 WELLS BROTHERS RD
ROSE HILL NC 38458

Officer/Director/Trustee Three

TABBATHA BOYETT
SECRETARY
1981 STAG PARK RD
BURGAW NC 28425

Officer/Director/Trustee Four

JOHANNA PARKER
VICE PRESIDENT
3236 CROOKED RUN RD
WILLARD NC 28478

Officer/Director/Trustee Five

BRIAN TODD
DIRECTOR
396 BREWINGTON LN
BURGAW NC 28425

Organization’s website
Organization’s email GOTAPPALOOSAS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/18
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 Yes
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 JEWELL HORTON
Signature Title PRESIDENT
Signature Date 12/21/18

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