FORM 1023-EZ for RESTHAVEN HORSE RESCUE

Field Data
EIN 47-5628174
Case Number EO-2015358-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESTHAVEN HORSE RESCUE
Organization’s Mailing Address 6320 327TH STREET WAY
City CANNON FALLS
State MN
ZIP 55009
Accounting period End 12
Primary contact name KATHLEEN PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHLEEN PETERSON
TREASURER
35757 GRAND AVE
NORTH BRANCH MN 55056

Officer/Director/Trustee Two

KATHRYN ROHL
SECRETARY
6320 327TH STREET WAY
CANNON FALLS MN 55009

Officer/Director/Trustee Three

MINDY ALLSOP
PRESIDENT
N4858 1165TH ST
PRESCOTT WI 54021

Organization’s website WWW.RESTHAVENHORSERESCUE.COM
Organization’s email RESTHAVENHORSERESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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