FORM 1023-EZ for HEALING PAWS FOR WARRIORS INC

Field Data
EIN 47-3963187
Case Number EO-2015196-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALING PAWS FOR WARRIORS INC
Organization’s Mailing Address 109 HUGHES STREET NE
City FORT WALTON BEACH
State FL
ZIP 32548-4455
Accounting period End 12
Primary contact name JENNIFER GAGNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER GAGNE
PRESIDENT
118 FULMAR CIRCLE NE
FORT WALTON BEACH FL 32548-6453

Officer/Director/Trustee Two

MIKE ARENA
VICE PRESIDENT
1703 CONSERVATION TRAIL APT 103
FORT WALTON BEACH FL 32547-5072

Officer/Director/Trustee Three

SHEILA HALE
TREASURER
668 RANDALL ROBERTS ROAD
FORT WALTON BEACH FL 32547-4937

Officer/Director/Trustee Four

KRISTIN POND
SECRETARY
10082 PRITCHARD POINT CIRCLE
NAVARRE FL 32566-3005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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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