FORM 1023-EZ for BROKEN ROAD RANCH

Field Data
EIN 84-3392142
Case Number EO-2021250-000639
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROKEN ROAD RANCH
Organization’s Mailing Address 23112 BLESSINGER RD
City START
State ID
ZIP 83669
Accounting period End 12
Primary contact name LAURA WIGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA WIGGINS
DIRECTOR
23112 BLESSINGER RD
STAR ID 83669

Organization’s website
Organization’s email BROKENRAODRANCHLLC@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State ID
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: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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 LAURA WIGGINS
Signature Title DIRECTOR
Signature Date 9/3/2021

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