FORM 1023-EZ for BAYFIELD THERAPEUTIC EQUINE CENTER

Field Data
EIN 46-1682772
Case Number EO-2015082-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAYFIELD THERAPEUTIC EQUINE CENTER
Organization’s Mailing Address 9130 BAYFIELD LANE
City BRIGHTON
State MI
ZIP 48116-6726
Accounting period End 12
Primary contact name LESLIE BOLGOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LESLIE BOLGOS
INCORPORATOR CEO
9130 BAYFIELD LANE
BRIGHTON MI 48116-6726

Officer/Director/Trustee Two

TOM DOBSON
PRESIDENT
2319 QUAKER RIDGE DR
ANN ARBOR MI 48108-8665

Officer/Director/Trustee Three

MARK MERNA
VICE PRESIDENT
9955 GALLATIAN DR
HAMBURG MI 48139

Officer/Director/Trustee Four

RICK BREWSTER
TREASURER, CFO
5588 N MAPLE RD
ANN ARBOR MI 48103

Officer/Director/Trustee Five

JENNIFER YOUNG
SECRETARY
640 LEROY ST APT 5
FERNDALE MI 48220

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2013
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N69 - Equestrian, Riding
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 Yes
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
Signature Title
Signature Date

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