FORM 1023-EZ for BIG HEARTS K9 RESCUE

Field Data
EIN 47-3497550
Case Number EO-2015106-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BIG HEARTS K9 RESCUE
Organization’s Mailing Address PO BOX 2344
City LANCASTER
State OH
ZIP 43130
Accounting period End 12
Primary contact name BROOKE LUDWIG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BROOKE LUDWIG
VICE PRESIDENT
115 PENNY LANE
GAHANNA OH 43230

Officer/Director/Trustee Two

LEIGH SVOBODA
PRESIDENT
3744 OAKMONT LANE NE
LANCASTER OH 43130

Officer/Director/Trustee Three

MELISSA SVOBODA
TRESURER
3744 OAKMONT LANE NE
LANCASTER OH 43130

Officer/Director/Trustee Four

FELICIA LEWELLEN
SECRETARY
1125 SUGAR GROVE RD
LANCASTER OH 43130

Organization’s website
Organization’s email BIGHEARTSDOGRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2015
Organization Incorporation State OH
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: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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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