FORM 1023-EZ for MYSTIC VALLEY RANCH

Field Data
EIN 82-2484739
Case Number EO-2020052-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MYSTIC VALLEY RANCH
Organization’s Mailing Address 8616 PORTO BELLO AVE
City NORTH PORT
State FL
ZIP 34287
Accounting period End 12
Primary contact name RAQUEL L DUNCAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAQUEL DUNCAN
PRESIDENT
8616 PORTO BELLO AVE
NORTH PORT FL 34287

Officer/Director/Trustee Two

STEPHANIE COYLE
VICE PRESIDENT
428 NORTH ROSSETTI DR
NOKOMIS FL 34275

Officer/Director/Trustee Three

SCOTT GRAY
TREASURER
8616 PORTO BELLO AVE
NORTH PORT FL 34287

Officer/Director/Trustee Four

CHRISTOPHER BARKENQUAST
SECRETARY
11200 DEERWOOD AVE
ENGLEWOOD FL 34224

Organization’s website
Organization’s email MYSTICVALLEYRANCHANIMALRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2017
Organization Incorporation State FL
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAQUEL DUNCAN
Signature Title PRESIDENT
Signature Date 2/19/2020

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