FORM 1023-EZ for ASHLEY DOWN YOUTH RANCH

Field Data
EIN 81-2982856
Case Number EO-2017076-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASHLEY DOWN YOUTH RANCH
Organization’s Mailing Address 13419 PELICAN ROAD
City HOT SPRINGS
State SD
ZIP 57747
Accounting period End 6
Primary contact name CHRISTOPHER CAREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER CAREY
PRESIDENT
13419 PELICAN ROAD
HOT SPRINGS SD 57747

Officer/Director/Trustee Two

ANGIE CAREY
DIRECTOR OF OPERATIONS
13419 PELICAN ROAD
HOT SPRINGS SD 57747

Officer/Director/Trustee Three

JOSEPH FANTUZZO
BOARD MEMBER
603 WESTLAND DRIVE
GIBSONIA PA 15044

Organization’s website WWW.ASHLEYDOWNYR.ORG
Organization’s email ASHLEYDOWNYR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2016
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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
Signature Title
Signature Date

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