FORM 1023-EZ for LUCKY HORSE RESCUE INC

Field Data
EIN 46-3646650
Case Number EO-2016231-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LUCKY HORSE RESCUE INC
Organization’s Mailing Address 8300 MORRISON ROAD
City HASTINGS
State FL
ZIP 32145
Accounting period End 5
Primary contact name LOREN ZAWAWI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOREN ZAWAWI
PD
8300 MORRISON ROAD
HASTINGS FL 32145

Officer/Director/Trustee Two

ANTIONETTE BAKER
SECRETARY
8300 MORRISON ROAD
HASTINGS FL 32145

Officer/Director/Trustee Three

LYNNE ALBERT
TREASURER
8300 MORRISON ROAD
HASTINGS FL 32145

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2013
Organization Incorporation State FL
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: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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