FORM 1023-EZ for PAINT PONY HAVEN INC

Field Data
EIN 83-3037461
Case Number EO-2019035-000678
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAINT PONY HAVEN INC
Organization’s Mailing Address 22520 CAPTITAL AVE NE
City BATTLE CREEK
State MI
ZIP 49017
Accounting period End 12
Primary contact name STAUFFER MALCOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STAUFFER MALCOM
DIRECTOR
22520 CAPITAL AVE NE
BATTLE CREEK MI 49017

Officer/Director/Trustee Two

NADIN MALCOM
DIRECTOR
22520 CAPITAL AVE NE
BATTLE CREEK MI 49017

Officer/Director/Trustee Three

KATLEEN GODFREY
DIRECTOR
1621 HAMMOCK CIR W
JACKSONVILLE FL 32225

Organization’s website PAINTPONYHAVEN.COM
Organization’s email PAINTPONYHAVEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
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 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 STAUFFER MALCOM
Signature Title DIRECTOR
Signature Date 1/11/19

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