FORM 1023-EZ for HEAVEN ON MY EARTH ANIMAL RESCUE

Field Data
EIN 46-0984581
Case Number EO-2017291-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEAVEN ON MY EARTH ANIMAL RESCUE
Organization’s Mailing Address 19335 WEST MELVIN ST
City BUCKEYE
State AZ
ZIP 85326
Accounting period End 12
Primary contact name CHRIS FIERRO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SABRINA LASSALLE
DIRECTOR
19335 WEST MELVIN STREET
BUCKEYE AZ 85326

Officer/Director/Trustee Two

CHRIS FIERRO
DIRECTOR
9335 WEST MELVIN STREET
BUCKEYE AZ 85326

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2013
Organization Incorporation State AZ
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: 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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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