FORM 1023-EZ for HAVEN HOLLOW ANIMAL REFUGE INCORPORATED

Field Data
EIN 86-1776288
Case Number EO-2021082-000708
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAVEN HOLLOW ANIMAL REFUGE INCORPORATED
Organization’s Mailing Address 1244 NORTH 900 EAST
City SHELLEY
State ID
ZIP 83274-5123
Accounting period End 1
Primary contact name ELISSA TURPIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELISSA TURPIN
MRS
1244 N 900 E
SHELLEY ID 83274-5123

Officer/Director/Trustee Two

CHRISTOPHER TURPIN
MR
1244 N 900 E
SHELLEY ID 83274-5123

Officer/Director/Trustee Three

EMILY COLLINS
MRS
1432 SAINT CLAIR ROAD
IDAHO FALLS ID 83404-1206

Organization’s website
Organization’s email HAVENHOLLOWANIMALREFUGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2021
Organization Incorporation State ID
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 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 ELISSA TURPIN
Signature Title MRS
Signature Date 1/30/2021

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