FORM 1023-EZ for THE LUCKY HORSE SANCTUARY INC

Field Data
EIN 85-3620228
Case Number EO-2021096-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE LUCKY HORSE SANCTUARY INC
Organization’s Mailing Address 4350 NW 43RD STREET
City COCONUT CREEK
State FL
ZIP 33073
Accounting period End 12
Primary contact name DR BLAIR BARONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAIR BARONE
PRESIDENT
4250 NW 43RD STREET
COCONUT CREEK FL 33073

Officer/Director/Trustee Two

ANITA LEVINE
VICE PRESIDENT
84 NE 151ST
MIAMI FL 33162-4243

Officer/Director/Trustee Three

BARON KARPUSKA
VICE PRESIDENT
5430 LYONS ROAD APT 306
COCONUT CREEK FL 33073

Officer/Director/Trustee Four

RAY KARPUSKA
VICE PRESIDENT
5430 LYONS ROAD APT 306
COCONUT CREEK FL 33301

Officer/Director/Trustee Five

GARDINER BARONE
VICE PRESIDENT
102 HARDENBURGH ROAD
PINE BUSH NY 12566

Organization’s website
Organization’s email drblairbarone@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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 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 BLAIR BARONE
Signature Title PRESIDENT
Signature Date 3/6/2021

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