FORM 1023-EZ for ANNIES HORSE ACRES

Field Data
EIN 47-2309808
Case Number EO-2014344-000463
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANNIES HORSE ACRES
Organization’s Mailing Address 1109 S DEEP CREED RD
City MEDICAL LAKE
State WA
ZIP 99022
Accounting period End 12
Primary contact name TAYLOR BAZE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAYLOR BAZE
OPERATIONS MANAGER
5603 N DST
SPOKANE WA 99205

Officer/Director/Trustee Two

TRINA BAZE
FINANCIAL ADVISER
1109 S DEEP CREEK RD
MEDICAL LAKE WA 99022

Officer/Director/Trustee Three

DENNIS HURD
FACILITY OFFICER
1109 S DEEP CREEK RD
MEDICAL LAKE WA 99022

Officer/Director/Trustee Four

TRACY BAZE
BOOK KEEPER
1109 S DEEP CREEK RD
MEDICAL LAKE WA 99022

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2014
Organization Incorporation State WA
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
Signature Title
Signature Date

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