FORM 1023-EZ for TAMARAS ANIMAL HAVEN INC

Field Data
EIN 47-1190138
Case Number EO-2014234-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TAMARAS ANIMAL HAVEN INC
Organization’s Mailing Address 3393 LAKESIDE VIEW DRIVE
City FALLS CHURCH
State VA
ZIP 22041
Accounting period End 12
Primary contact name TAMARA WISEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMARA WISEMAN
PRESIDENT
3393 LAKESIDE VIEW DRIVE
FALLS CHURCH VA 22041

Officer/Director/Trustee Two

MARKIES HART
VICE PRESIDENT
2116 S LINCOLN STREET
ARLINGTON VA 22204

Officer/Director/Trustee Three

MARY LOU RAKOSKY
TREASURER
4107 SIDEBURN ROAD
FAIRFAX VA 22030

Officer/Director/Trustee Four

SUSANNE FURMAN
SECRETARY
637 14TH STREET NE
WASHINGTON DC 20002

Organization’s website WWW.TAMARASANIMALHAVEN.COM
Organization’s email TANIMALHAVEN@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2014
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: 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 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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