FORM 1023-EZ for MEDICINE PONY

Field Data
EIN 84-4555784
Case Number EO-2020076-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDICINE PONY
Organization’s Mailing Address 1600 EAGLEVILLE RD
City TIVERTON
State RI
ZIP 02878
Accounting period End 12
Primary contact name ROBERT COULTER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH GOODHUE
DIRECTOR,SECRETARY
111 WASHINGTON ST
FAIRHAVEN MA 02719

Officer/Director/Trustee Two

MARGARET ROSS
DIRECTOR,VICE PRESIDENT
2809 WHEELING AVE
EL PASO TX 79930

Officer/Director/Trustee Three

CAROL ANN SILVA
DIRECTOR,PRESIDENT,TREASURER
1600 EAGLEVILLE RD
TIVERTON RI 02878

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/2020
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 CAROL ANN SILVA
Signature Title DIRECTOR,PRESIDENT,TREASURER
Signature Date 3/12/2020

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