FORM 1023-EZ for HAVAHEART RESCUE

Field Data
EIN 81-3762824
Case Number EO-2016256-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAVAHEART RESCUE
Organization’s Mailing Address 916 SMITH AVE
City MARSHFIELD
State MO
ZIP 65706-1033
Accounting period End 12
Primary contact name SARA VILLINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARA VILLINES
PRESIDENT
916 SMITH AVE
MARSHFIELD MO 65706-1033

Officer/Director/Trustee Two

CAROL WRATNY
VICE-PRESIDENT
1058 W SYCAMORE ST
SPRINGFIELD MO 65810-2545

Officer/Director/Trustee Three

ELIZABETH TERRIGINO
SECRETARY
1058 W SYCAMORE ST
SPRINGFIELD MO 65810-2545

Organization’s website WWW.HAVAHEARTRESCUE.ORG
Organization’s email INFO@HAVAHEARTRESCUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2016
Organization Incorporation State MO
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 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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