FORM 1023-EZ for CENTRAL PA HORSE RESCUE

Field Data
EIN 81-5448928
Case Number EO-2017055-000734
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL PA HORSE RESCUE
Organization’s Mailing Address 100 SPANGLER ROAD
City LEWISBERRY
State PA
ZIP 17339
Accounting period End 12
Primary contact name CONNIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONNIE GREENAWALT
VICE PRESIDENT/TREASURER
920 KUNKLES MILL ROAD
LEWISBERRY PA 17339

Officer/Director/Trustee Two

MARTIN PETRATOS
PRESIDENT
920 KUNKLES MILL ROAD
LEWISBERRY PA 17339

Officer/Director/Trustee Three

TREVOR JOHNS
DIRECTOR/SECRETARY
5811 KOCHENAUER LANE
DOVER PA 17315

Officer/Director/Trustee Four

PHILLIP KRIEGER
DIRECTOR
5811 KOCHENAUER LANE
DOVER PA 17315

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2017
Organization Incorporation State PA
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: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
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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