FORM 1023-EZ for HOLLEYS HOPPING HABITAT

Field Data
EIN 46-5542891
Case Number EO-2017061-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLLEYS HOPPING HABITAT
Organization’s Mailing Address 312 NORTH ELM STREET
City HAUGHTON
State LA
ZIP 71037-9619
Accounting period End 12
Primary contact name LOU ANN HOLLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOU ANN HOLLEY
DIRECTOR, PRESIDENT
312 NORTH ELM STREET
HAUGHTON LA 71037

Officer/Director/Trustee Two

RANDY WELLHAUSEN
TREASURER
PO BOX 1291
HAUGHTON LA 71037

Officer/Director/Trustee Three

WILLIAM LAVALLE
DEVELOPMENT DIRECTOR
973 COUNTRY CLUB CIRCLE
MINDEN LA 71055

Officer/Director/Trustee Four

NANCY SEVIER
VICE PRESIDENT
478 SHENANDOAH DRIVE
SHREVEPORT LA 71115

Organization’s website HTTP://HOPPINGHABITAT.WIXSITE.COM/HOPPING-HABITAT
Organization’s email HOPPINGHABITAT@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2017
Organization Incorporation State LA
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 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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