FORM 1023-EZ for FORGET ME KNOT EQUINE RESCUE INC

Field Data
EIN 81-4750038
Case Number EO-2017023-000438
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORGET ME KNOT EQUINE RESCUE INC
Organization’s Mailing Address 1250 SW 140TH AVE
City OCALA
State FL
ZIP 34481
Accounting period End 12
Primary contact name LISA LARSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA LARSEN-SMILEY
DIRECTOR
1250 SW 140TH AVE
OCALA FL 34481

Officer/Director/Trustee Two

GENEVIEVE WILSON
PRESIDENT
1450 SW 140TH AVE
OCALA FL 34481

Officer/Director/Trustee Three

JAMES SIMON
VICE PRESIDENT
1450 SW 140TH AVE
OCALA FL 34481

Officer/Director/Trustee Four

ERIC PEYSER
SECRETARY
10951 SW 71ST CIRCLE
OCALA FL 34481

Officer/Director/Trustee Five

SHAINA EDWARDS
TREASURER
271 BONNIE BLVD
PALM SPRINGS FL 33461

Organization’s website WWW.FORGETMEKNOTRESCUE.COM
Organization’s email LJSFARM1250@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2016
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: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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