FORM 1023-EZ for PONY TALES REFUGE REHAB INC

Field Data
EIN 47-1658095
Case Number EO-2014272-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PONY TALES REFUGE REHAB INC
Organization’s Mailing Address 4398 130TH AVENUE
City COLFAX
State WI
ZIP 54730
Accounting period End 9
Primary contact name CYNTHIA T PRINCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PENNY SNYDER
DIRECTOR
E7415 1182ND AVENUE
WHEELER WI 54772

Officer/Director/Trustee Two

WADE ASPEN
DIRECTOR
1467 110TH AVENUE
COLFAX WI 54730

Officer/Director/Trustee Three

NATHAN PRINCE
DIRECTOR
4398 130TH AVENUE
COLFAX WI 54730

Officer/Director/Trustee Four

CYNTHIA PRINCE
DIRECTOR
4398 130TH AVENUE
COLFAX WI 54730

Organization’s website PONYTALESREFUGEANDREHAB.ORG
Organization’s email CINPRINCE@PONYTALESREFUGEANDREHAB.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2014
Organization Incorporation State WI
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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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