FORM 1023-EZ for SAFE HARBOR RESCUE INC

Field Data
EIN 82-4674492
Case Number EO-2018071-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE HARBOR RESCUE INC
Organization’s Mailing Address 150 HAZEL THOMPSON RD
City DERIDDER
State LA
ZIP 70634-6953
Accounting period End 12
Primary contact name DEBBIE MCLAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBBIE MCLAIN
PRESIDENT
150 HAZEL THOMPSON RD
DERIDDER LA 70634-6953

Officer/Director/Trustee Two

JAMES PERKINS
SECRETARY TRUSTURE
150 HAZEL THOMPSON RD
DERIDDER LA 70634-6953

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/18
Organization Incorporation State LA
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 DEBBIE MCLAIN
Signature Title PRESIDENT
Signature Date 3/8/18

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