FORM 1023-EZ for HEATHS HAVEN INC

Field Data
EIN 46-3075324
Case Number EO-2014226-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEATHS HAVEN INC
Organization’s Mailing Address 1869 E SELTICE WAY PMB 314
City POST FALLS
State ID
ZIP 83854
Accounting period End 12
Primary contact name LINDA MARTIN MARI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOLENE SCHILLER HEATH
PRESIDENT
16068 HOLLISTER HILLS
HAUSER ID 83854

Officer/Director/Trustee Two

SHAWN HEATH
VICE PRESIDENT
16068 HOLLISTER HILLS
HAUSER ID 83854

Officer/Director/Trustee Three

LINDA MARTIN MARI
SECRETARY TREASURER
PO BOX 851
ATHOL ID 83801

Organization’s website WWW.HEATHSHAVENRESCUE.COM
Organization’s email INFO@HEATHSHAVENRESCUE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2013
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
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 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
Signature Title
Signature Date

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