FORM 1023-EZ for GREEN HEART RESCUE

Field Data
EIN 83-0583038
Case Number EO-2018152-000088
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREEN HEART RESCUE
Organization’s Mailing Address 10511 WEST SNOW WOLF DRIVE
City STAR
State ID
ZIP 83669
Accounting period End 5
Primary contact name SHANNON BENECKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON BENECKE
DIRECTOR
10511 WEST SNOW WOLF DRIVE
STAR ID 83669

Officer/Director/Trustee Two

CLAIRE JOHNSON
DIRECTOR
10511 WEST SNOW WOLF DRIVE
STAR ID 83669

Officer/Director/Trustee Three

DJ HOLOHAN
DIRECTOR
312 PROSPECT AVE
LONG BEACH CA 90814

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/18
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 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 SHANNON BENECKE
Signature Title DIRECTOR
Signature Date 5/30/18

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