FORM 1023-EZ for NAKOMAS HAVEN EQUINE SANCTUARY AND RESCUE

Field Data
EIN 82-5297758
Case Number EO-2018116-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAKOMAS HAVEN EQUINE SANCTUARY AND RESCUE
Organization’s Mailing Address PO BOX 72
City MIDLAND
State OR
ZIP 97634
Accounting period End 12
Primary contact name DEVEN MISCHEL COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEVEN COLLINS
CHIEF OPERATING OFFICER
PO BOX 72
MIDLAND OR 97634

Officer/Director/Trustee Two

MARIA MEISTER
DIRECTOR
779 MILLER ISLAND ROAD
KLAMATH FALLS OR 97603

Organization’s website NA
Organization’s email NAKOMASSANCTUARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/25/17
Organization Incorporation State OR
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: 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 Yes
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 DEVEN COLLINS
Signature Title CHIEF OPERATING OFFICER
Signature Date 4/24/18

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