FORM 1023-EZ for HOOTIES HAVEN ANIMAL RESCUE INC

Field Data
EIN 81-2607566
Case Number EO-2016138-000095
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOOTIES HAVEN ANIMAL RESCUE INC
Organization’s Mailing Address 2500 EUHARLEE RD SE
City ROME
State GA
ZIP 30161
Accounting period End 12
Primary contact name SHERI HARLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERI HARLEY
CEO
2500 EUHARLEE RD
ROME GA 30161

Officer/Director/Trustee Two

WILLIAM BRAY
SECRETARY
1721 LAKE CREEK RD
CEDARTOWN GA 30125

Officer/Director/Trustee Three

LORENDA ARY
CFO
4175 OLD LEWIS RIVER RD
WOODLAND WA 98674

Organization’s website
Organization’s email HOOTIESHAVEN@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2016
Organization Incorporation State GA
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 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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