FORM 1023-EZ for HEALING BY HORSEBACK

Field Data
EIN 82-1026987
Case Number EO-2017100-000436
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALING BY HORSEBACK
Organization’s Mailing Address 12409 S HWY 59
City LINCOLN
State AR
ZIP 72744
Accounting period End 12
Primary contact name ALYSSA PITTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SETH PITTS
PRESIDENT
12409 S HWY 59
LINCOLN AR 72744

Officer/Director/Trustee Two

HEATHER KENNEN
VICE PRESIDENT
PO BOX 1262
FARMINGTON AR 72730

Officer/Director/Trustee Three

BETHANI VALENTINE
SECRETARY
11552 N WEDINGTON
LINCOLN AR 72744

Officer/Director/Trustee Four

STEVE HALL
TREASURER
3187 INDIAN SPRINGS AVE
SPRINGDALE AR 72762

Officer/Director/Trustee Five

ALYSSA PITTS
EXECUTIVE DIRECTOR
12409 S HWY 59
LINCOLN AR 72744

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2017
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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