FORM 1023-EZ for HEROS HAVEN ANIMAL RESCUE

Field Data
EIN 84-2132230
Case Number EO-2019238-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEROS HAVEN ANIMAL RESCUE
Organization’s Mailing Address 19947 247TH ST
City MANCHESTER
State IA
ZIP 52057
Accounting period End 12
Primary contact name ALISON PARMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALISON PARMER
PRESIDENT
19947 247TH ST
MANCHESTER IA 52057

Officer/Director/Trustee Two

LOIS RICHARDSON
VICE PRESIDENT
308 N WEST ST
EARLVILLE IA 52041

Officer/Director/Trustee Three

CATHY WHITE
SECRETARY/TREASURER
203 S WEST ST
EARLVILLE IA 52041

Organization’s website N/A
Organization’s email HEROSHAVENIOWA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/19
Organization Incorporation State IA
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: 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 ALISON PARMER
Signature Title PRESIDENT
Signature Date 8/22/19

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