FORM 1023-EZ for MENDING HEARTS AND PAWS

Field Data
EIN 82-2674479
Case Number EO-2017307-000149
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MENDING HEARTS AND PAWS
Organization’s Mailing Address 42250 WHITNEY ROAD
City LAGRANGE
State OH
ZIP 44050-9604
Accounting period End 12
Primary contact name REBECCA AYERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA AYERS
PRESIDENT
42250 WHITNEY ROAD
LAGRANGE OH 44050-9604

Officer/Director/Trustee Two

LAURIE LONG
TRUSTEE
664 BELL AVENUE
ELYRIA OH 44035-3412

Officer/Director/Trustee Three

SHANNON MOSS
TRUSTEE
10821 QUARRY ROAD
OBERLIN OH 44074-9546

Organization’s website WWW.MENDINGHEARTSANDPAWS.COM
Organization’s email MENDINGHEARTS.PAWS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2017
Organization Incorporation State OH
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: No
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 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
Signature Title
Signature Date

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