FORM 1023-EZ for HEART HARBOR RESCUE INC

Field Data
EIN 47-2496317
Case Number EO-2017235-000415
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART HARBOR RESCUE INC
Organization’s Mailing Address 525 NW 126TH STREET
City MIAMI
State FL
ZIP 33168
Accounting period End 12
Primary contact name KELLY GALLAGHER-SHANNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY GALLAGHER-SHANNON
PRESIDENT
525 NW 126 STREET
MIAMI GA 33168-3641

Officer/Director/Trustee Two

SHANNON EDWARDS
VICE PRESIDENT
525 NW 126 STREET
MIAMI FL 33168-3641

Officer/Director/Trustee Three

CHRISTOPHER SANTORO
SECRETARY
3233 NE 10 STREET
POMPANO BEACH FL 33026

Officer/Director/Trustee Four

BRENDA SHANNON
TREASURE
15051 TETHERCLIFF ST
DAVIE FL 33331

Organization’s website WWW.HEARTHARBORRESCUE.ORG
Organization’s email HEARTHARBORRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 47-2496317
Case Number EO-2014349-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART HARBOR RESCUE INC
Organization’s Mailing Address 525 NW 126TH ST
City MIAMI
State FL
ZIP 33168-3641
Accounting period End 12
Primary contact name JAY FLEISHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLY GALLAGHER
DIRECTOR
525 NW 126TH ST
MIAMI FL 33168-3641

Officer/Director/Trustee Two

SHANNON EDWARDS
DIRECTOR
525 NW 126TH ST
MIAMI FL 33168-3641

Officer/Director/Trustee Three

CHRISTOPHER SANTORO
DIRECTOR
525 NW 126TH ST
MIAMI FL 33168-3641

Officer/Director/Trustee Four

JAMES SHANNON
DIRECTOR
525 NW 126TH ST
MIAMI FL 33168-3641

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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