FORM 1023-EZ for HEAVEN HELP US ANIMAL REFUGE

Field Data
EIN 35-2414778
Case Number EO-2018282-000476
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEAVEN HELP US ANIMAL REFUGE
Organization’s Mailing Address 15492 OLIVE CIRCLE
City PUNTA GORDA
State FL
ZIP 33955
Accounting period End 5
Primary contact name GENA WALCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY WALCK
VICE PRESIDENT
15492 OLIVE CIRCLE
PUNTA GORDA FL 33955

Officer/Director/Trustee Two

TIFFANY WALCK
SECRETARY/ TREASURER
21027 GEPHART AVE
PUNTA GORDA FL 33955

Officer/Director/Trustee Three

GENA WALCK
PRESIDENT
15492 OLIVE CIRCLE
PUNTA GORDA FL 33955

Organization’s website WWW.HEAVENHELPUSREFUGE.COM
Organization’s email HEAVENHELPUS2@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/12
Organization Incorporation State FL
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: Yes
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 Yes
Correctness Declaration Yes
Signature Name GENA WALCK
Signature Title PRESIDENT
Signature Date 10/6/18

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