FORM 1023-EZ for HALONA DOG RESCUE

Field Data
EIN 85-1167127
Case Number EO-2020244-000173
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HALONA DOG RESCUE
Organization’s Mailing Address 3110 HOLLY AVE
City COLONIAL HEIGHTS
State VA
ZIP 23834
Accounting period End 12
Primary contact name JENNI HEINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNI HEINS
PRESIDENT/MARKETING/OFFICER
3110 HOLLY AVE
COLONIAL HEIGHTS VA 23834

Officer/Director/Trustee Two

SHARON HEINS
EXECUTIVE DIRECTOR
3110 HOLLY AVE
COLONIAL HEIGHTS VA 23834

Officer/Director/Trustee Three

KYLE HEINS
TREASURER/SECRETARY/DIRECTOR
3110 HOLLY AVE
COLONIAL HEIGHTS VA 23834

Officer/Director/Trustee Four

MADISON OCONNER
COO/OFFICER
3106 FREDERICK AVE
COLONIAL HEIGHTS VA 23834

Organization’s website
Organization’s email KHEINS@HALONADOGRESCUE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2020
Organization Incorporation State VA
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: 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 Yes
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 KYLE HEINS
Signature Title TREASURER/SECRETARY/DIRECTOR
Signature Date 8/27/2020

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