FORM 1023-EZ for BACK COUNTRY HORSEMEN NORTH WEST CHAPTER

Field Data
EIN 47-1484077
Case Number EO-2016095-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACK COUNTRY HORSEMEN NORTH WEST CHAPTER
Organization’s Mailing Address P O BOX 2774
City CORRALES
State NM
ZIP 87048
Accounting period End 12
Primary contact name TEDDIE BRUCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA BRUCH
PRESIDENT/BOARD PRESIDENT/CEO
46 B LAZO ESCONDIDO
BERNAILLO NM 87004

Officer/Director/Trustee Two

TEDDIE BRUCE
SECRETARY/TREASURER/BOARD SEC/TREAS
3 HOP TREE TRAIL
CORRALES NM 87048-9613

Officer/Director/Trustee Three

DAN KEY
VICE PRESIDENT/BOARD VICE PRESIDENT
6221 SALT CEDAR ROAD NE
RIO RANCH NM 87144

Organization’s website BCHNM.ORG/NORTHWEST.HTML/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2016
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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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