FORM 1023-EZ for EQUINE MELANOMA FOUNDATION

Field Data
EIN 86-1705331
Case Number EO-2021082-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EQUINE MELANOMA FOUNDATION
Organization’s Mailing Address 33810 NW MOUNTAINDALE RD
City NORTH PLAINS
State OR
ZIP 97133-6139
Accounting period End 12
Primary contact name RITA LUETKENHAUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RITA LUETKENHAUS
PRESIDENT
33810 NW MOUNTAINDALE RD
NORTH PLAINS OR 97133-6139

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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 RITA LUETKENHAUS
Signature Title PRESIDENT
Signature Date 1/28/2021

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