FORM 1023-EZ for LIBBYS LEGACY RESCUE AND REHAB FOROTT RACEHORSES

Field Data
EIN 83-2576033
Case Number EO-2018330-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIBBYS LEGACY RESCUE AND REHAB FOROTT RACEHORSES
Organization’s Mailing Address 5790 JEFFERSON ROAD
City NORTH BRANCH
State MI
ZIP 48461
Accounting period End 12
Primary contact name CORTNEY KAISER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACI MARTIN
OWNER/OPERATOR
5790 JEFFERSON ROAD
NORTH BRANCH MI 48461

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/18
Organization Incorporation State MI
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 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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRACI MARTIN
Signature Title OWNER/OPERATOR
Signature Date 11/23/18
EIN 83-2576033
Case Number EO-2018330-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIBBYS LEGACY RESCUE AND REHAB FOR OTT RACEHORSES
Organization’s Mailing Address 5790 JEFFERSON ROAD
City NORTH BRANCH
State MI
ZIP 48461
Accounting period End 12
Primary contact name CORTNEY KAISER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACI MARTIN
OWNER/OPERATOR
5790 JEFFERSON ROAD
NORTH BRANCH MI 48461

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/18
Organization Incorporation State MI
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 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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRACI MARTIN
Signature Title OWNER/OPERATOR
Signature Date 11/23/18

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