FORM 1023-EZ for GYPSY HERITAGE HORSE RESCUE AND REHABILITATION

Field Data
EIN 83-0871111
Case Number EO-2020163-000300
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GYPSY HERITAGE HORSE RESCUE AND REHABILITATION
Organization’s Mailing Address 116 W OAK ST
City EL DORADO SPRINGS
State MO
ZIP 64743
Accounting period End 12
Primary contact name MICHELLE BRAITHWOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE BRAITHWOOD
FOUNDER/CEO
116 W OAK ST
EL DORADO SPRINGS MO 64744

Officer/Director/Trustee Two

KENNETH CONWELL
PRESIDENT
489 STARRATT RD LOT 301
JACKSONVILLE FL 33218

Officer/Director/Trustee Three

REGINA ZUG
TRUSTEE
583 WILD HORSE RANCH RD
PIE TOWN NM 87821

Officer/Director/Trustee Four

REGINA CASSAT
OFFICER
116 W OAK ST
EL DORADO SPRINGS MO 64744

Officer/Director/Trustee Five

BRITTINIE CASSAT
TRUSTEE
124 DUVAL CT
HAMPTON VA 23669

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2020
Organization Incorporation State MO
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 Yes
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 Yes
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 MICHELLE BRAITHWOOD
Signature Title FOUNDER/CEO
Signature Date 6/9/2020

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