FORM 1023-EZ for MINIATURE MIRACLES CERTIFIED THERAPY HORSES INC

Field Data
EIN 84-4144415
Case Number EO-2020017-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINIATURE MIRACLES CERTIFIED THERAPY HORSES INC
Organization’s Mailing Address 16-1612 34TH AVE
City KEAAU
State HI
ZIP 96749
Accounting period End 12
Primary contact name MICHELLE MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE MOORE
CEO
HC 2 BOX 5689
KEAAU HI 96749

Officer/Director/Trustee Two

ROSIE MCKNIGHT
TREASURER
HC 2 BOX 5689
KEAAU HI 96749

Officer/Director/Trustee Three

CAYLIN MOORE
CHAIR PERSON
HC 2 BOX 5689
KEAAU HI 96749

Officer/Director/Trustee Four

CHERYL ZORN
CHAIR PERSON
15-203 PUNI LAPA
PAHOA HI 96749

Officer/Director/Trustee Five

MAIYA HAMM
CHAIR PERSON
HC 2 BOX 5689
KEAAU HI 96749

Organization’s website
Organization’s email HAMMM@HAWAII.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/25/2019
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 Yes
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 Yes
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 MICHELLE MOORE
Signature Title CEO
Signature Date 1/15/2020

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