FORM 1023-EZ for FOUR PAWS ONE HEART INC

Field Data
EIN 84-2762215
Case Number EO-2019248-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUR PAWS ONE HEART INC
Organization’s Mailing Address 269 OAK HILL DR
City TROPHY CLUB
State TX
ZIP 76262
Accounting period End 12
Primary contact name SUSAN EDSTROM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN EDSTROM
PRESIDENT AND DIRECTOR
269 OAK HILL DR
TROPHY CLUB TX 76262

Officer/Director/Trustee Two

JASON MCGREW
VICE PRESIDENT AND DIRECTOR
18 HUNTERS RIDGE LANE
TROPHY CLUB TX 76262

Officer/Director/Trustee Three

JODI ASHBY
SECRETARY AND DIRECTOR
150 PARISH LANE APT 218
ROANOKE TX 76262

Officer/Director/Trustee Four

ALYSSA EDSTROM
DIRECTOR, COMMUNICATIONS
4128 RIVER BIRCH RD
FT WORTH TX 76137

Officer/Director/Trustee Five

DAVE EDSTROM
DIRECTOR, FUNDRAISING
269 OAK HILL DR
TROPHY CLUB TX 76262

Organization’s website
Organization’s email FOURPAWSONEHEART@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
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 Yes
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 SUSAN EDSTROM
Signature Title PRESIDENT AND DIRECTOR
Signature Date 9/3/19

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