FORM 1023-EZ for HEARTLAND SERVICE DOGS INC

Field Data
EIN 32-0380241
Case Number EO-2016228-000430
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTLAND SERVICE DOGS INC
Organization’s Mailing Address 11315 192ND ST
City MOKENA
State IL
ZIP 60448-8419
Accounting period End 12
Primary contact name LINDA FOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA FOX
PRESIDENT
11315 192ND
MOKENA IL 60448-8419

Officer/Director/Trustee Two

MICHAEL FOX
TREASURER
11315 192ND
MOKENA IL 60448-8419

Officer/Director/Trustee Three

DIANNA SMOLJAN
VICE PRESIDENT
10339 BRISTOL CT
MOKENA IL 60448-7954

Officer/Director/Trustee Four

DANIELLE STEM
DIRECTOR
621 W BROADWAY
MERIDIAN ID 83642-2404

Officer/Director/Trustee Five

CHARLENE BERGMAN
SECRETARY
10825 FRONT ST
MOKENA IL 60448-1548

Organization’s website WWW.HEARTLANDSERVICEDOGS.ORG
Organization’s email HEARTLANDSVCDOG@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2012
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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