FORM 1023-EZ for LITTLE BLESSINGS MINIATURE HORSE THERAPY INC

Field Data
EIN 81-3041507
Case Number EO-2016243-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LITTLE BLESSINGS MINIATURE HORSE THERAPY INC
Organization’s Mailing Address 5659 PARK HOLLOW
City WICHITA
State KS
ZIP 67208-4430
Accounting period End 1
Primary contact name KATHRYN RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN RODRIGUEZ
PRESIDENT
5659 PARK HOLLOW
WICHITA KS 67208-4430

Officer/Director/Trustee Two

ABRAHAM RODRIGUEZ
DIRECTOR
5659 PARK HOLLOW
WICHITA KS 67208-4430

Officer/Director/Trustee Three

LEE ADKINS
DIRECTOR
1300 42ND RD
UDALL KS 67146-7278

Officer/Director/Trustee Four

LINDA WAGNER
DIRECTOR
505 MEADOWLARK LANE
NEWTON KS 67114-5601

Officer/Director/Trustee Five

KIM BRIER
DIRECTOR
1976 S TARA FALLS CT
WICHITA KS 67207-6560

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2016
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 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
Signature Title
Signature Date

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