FORM 1023-EZ for HORSESHOES FOR COUSIN INC

Field Data
EIN 83-3363728
Case Number EO-2019178-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HORSESHOES FOR COUSIN INC
Organization’s Mailing Address 374 BUCKSKIN CT
City PARKER
State CO
ZIP 80138
Accounting period End 12
Primary contact name JEFF PENNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF PENNEY
PRESIDENT
374 BUCKSKIN CT
PARKER CO 80138

Officer/Director/Trustee Two

PAMELA SIPPEL
TREASURY
374 BUCKSKIN CT
PARKER CO 80138

Officer/Director/Trustee Three

TYLER PENNEY
VICE PRESIDENT
374 BUCKSKIN CT
PARKER CO 80138

Officer/Director/Trustee Four

KELLY PENNEY
SECRETARY
374 BUCKSKIN CT
PARKER CO 80138

Organization’s website WWW.HORSESHOESFORCOUSIN.COM
Organization’s email JEFF.PENNEY43@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G81 - AIDS
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 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 JEFF PENNEY
Signature Title PRESIDENT
Signature Date 6/25/19

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