FORM 1023-EZ for HOPE LIVES ANIMAL RESCUE INC

Field Data
EIN 83-0694386
Case Number EO-2019140-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOPE LIVES ANIMAL RESCUE INC
Organization’s Mailing Address 6968 SW OLD WIRE RD
City FORT WHITE
State FL
ZIP 32038
Accounting period End 12
Primary contact name DAWN MATHISEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN MATHISEN
PRESIDENT
6968 SW OLD WIRE RD
FORT WHITE FL 32038

Officer/Director/Trustee Two

EDWARD SWEEDY
VICE PRESIDENT
6968 SW OLD WIRE RD
FORT WHITE FL 32038

Officer/Director/Trustee Three

TREVOR MATHISEN
SECRETARY AND TREASURER
6968 SW OLD WIRE RD
FORT WHITE FL 32038

Organization’s website
Organization’s email HOPELIVESANIMALRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/18
Organization Incorporation State FL
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 DAWN MATHISEN
Signature Title PRESIDENT
Signature Date 5/16/19

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