FORM 1023-EZ for SENIOR HEARTS RESCUE AND RENEWAL

Field Data
EIN 81-4300312
Case Number EO-2016320-000150
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SENIOR HEARTS RESCUE AND RENEWAL
Organization’s Mailing Address 96 FOREST RD
City BRADFORDWOODS
State PA
ZIP 15015
Accounting period End 12
Primary contact name JOLIE A CARNAHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE PAVITT
CHAIRMAN OF BOARD
96 FOREST ROAD
BRADFORDWOODS PA 15015

Officer/Director/Trustee Two

DEBORAH MOSES
DIRECTOR
110 SAYBROOK HARBOR
BRADFORDWOODS PA 15015

Officer/Director/Trustee Three

JOLIE CARNAHAN
DIRECTOR
5457 BEECHNUT DRIVE
GIBSONIA PA 15044

Officer/Director/Trustee Four

MICHELLE HENRY
DIRECTOR, DVM
980 BROAD MEADOW DRIVE
PITTSBURGH PA 15237

Organization’s website HTTPS://WWW.FACEBOOK.COM/SENIORHEARTSRR
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2016
Organization Incorporation State PA
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 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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