FORM 1023-EZ for CAROLINA BIG HEARTS BIG BARKS RESCUE

Field Data
EIN 47-4531150
Case Number EO-2016111-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAROLINA BIG HEARTS BIG BARKS RESCUE
Organization’s Mailing Address 103 KARLSTAD LANE
City MOORESVILLE
State NC
ZIP 28115
Accounting period End 12
Primary contact name LISA SCHAUSEIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA SCHAUSEIL
PRESIDENT
103 KARLSTAD LANE
MOORESVILLLE NC 28115

Officer/Director/Trustee Two

SUZANNE BLOCKER
VICE-PRESIDENT
7121 WANNAMAKER LANE
CHARLOTTE NC 28226

Officer/Director/Trustee Three

PATRICIA HAYNES
TREASURER
1612 THORNHILL DRIVE
MONROE NC 28110

Officer/Director/Trustee Four

HEATHER TULLOS
SECRETARY
1300 LACKEY STREET
SHELBY NC 28152

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2015
Organization Incorporation State NC
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
Signature Title
Signature Date

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