FORM 1023-EZ for HEARTSTRINGS DOG RESCUE INC

Field Data
EIN 83-0588394
Case Number EO-2019101-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTSTRINGS DOG RESCUE INC
Organization’s Mailing Address 710 CREEKWOOD DR
City WEST BEND
State WI
ZIP 53095
Accounting period End 12
Primary contact name JACKIE KRAEMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACKIE KRAEMER
PRESIDENT
710 CREEKWOOD DR
WEST BEND WI 53095

Officer/Director/Trustee Two

MARLIS HIGGINS
DIRECTOR
4307 JACKSON DR
JACKSON WI 53037

Officer/Director/Trustee Three

MARY SUE LARSON
DIRECTOR
2700 BURLAWN PARKWAY
BROOKFIELD WI 53005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/18
Organization Incorporation State WI
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 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 JACKIE KRAEMER
Signature Title PRESIDENT
Signature Date 4/9/19

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