FORM 1023-EZ for FOREVER HOPE ANIMAL RESCUE

Field Data
EIN 81-2856504
Case Number EO-2016161-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREVER HOPE ANIMAL RESCUE
Organization’s Mailing Address 23 HERBERT THOMAS RD
City SANDY HOOK
State MS
ZIP 39478
Accounting period End 12
Primary contact name DIANNA WASCOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIANNA WASCOM
DIRECTOR
23 HERBERT THOMAS RD
SANDY HOOK MS 39478

Officer/Director/Trustee Two

GEORGIA BERG
SECRETARY/TREASURER
23 HERBERT THOMAS RD
SANDY HOOK MS 39478

Officer/Director/Trustee Three

CARRIE FADLEY
BOARD MEMBER
796 ORDCHARD HILL RD
ZANESVILLE OH 43701

Officer/Director/Trustee Four

DOUGLAS MOORMAN
BOARD MEMBER
9565 WATSON RD
HEATH OH 43056

Officer/Director/Trustee Five

MARVIN GRAHAM
BOARD MEMBER
111 OLD SANDY HOOK RD
SANDY HOOK MS 39478

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2016
Organization Incorporation State MS
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 Yes
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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