FORM 1023-EZ for EQUINE RESCUE AMBULANCE INC

Field Data
EIN 83-0477448
Case Number EO-2018270-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EQUINE RESCUE AMBULANCE INC
Organization’s Mailing Address PO BOX 271
City PHOENIX
State MD
ZIP 21131
Accounting period End 12
Primary contact name EVELYN HICKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVELYN HICKMAN
PRESIDENT
PO BOX 271
PHOENIX MD 21131

Officer/Director/Trustee Two

DANIELLE CLASS
TREASURER
PO BOX 271
PHOENIX MD 21131

Officer/Director/Trustee Three

PEGGY MAHER
VICE PRESIDENT
PO BOX 271
PHOENIX MD 21131

Officer/Director/Trustee Four

KIMBERLY BERGER
SECRETARY
PO BOX 271
PHOENIX MD 21131

Officer/Director/Trustee Five

JEAN CLASS
DIRECTOR
PO BOX 271
PHOENIX MD 21131

Organization’s website HORSEAMBULANCEMD.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/07
Organization Incorporation State MD
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name EVELYN HICKMAN
Signature Title PRESIDENT
Signature Date 9/25/18

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