FORM 1023-EZ for HAPPY LIFE ANIMAL RESCUE INC

Field Data
EIN 81-1804421
Case Number EO-2016085-000470
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAPPY LIFE ANIMAL RESCUE INC
Organization’s Mailing Address 51 CROSS ROAD
City PATTERSON
State NY
ZIP 12563
Accounting period End 12
Primary contact name LORRAINE FORSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LORRAINE FORSTER
DIRECTOR AND TREASURER
51 CROSS ROAD
PATTERSON NY 12563

Officer/Director/Trustee Two

DONNA BEDNARCZUK
DIRECTOR AND CHAIR
9 FOREST LANE
BREWSTER NY 10509

Officer/Director/Trustee Three

ROY FORSTER
DIRECTOR AND SECRETARY
51 CROSS ROAD
PATTERSON NY 12563

Officer/Director/Trustee Four

RICHARD BEDNARCZUK
DIRECTOR
9 FOREST LANE
BREWSTER NY 10509

Organization’s website
Organization’s email FORSTERSFIVE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2016
Organization Incorporation State NY
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: 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 No
One Third Support Gifts Yes
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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