FORM 1023-EZ for HAPPY TAILS ADOPTIONS INC

Field Data
EIN 81-0785120
Case Number EO-2016333-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAPPY TAILS ADOPTIONS INC
Organization’s Mailing Address 11875 SE 1ST ST RD
City SILVER SPRINGS
State FL
ZIP 34468
Accounting period End 12
Primary contact name CHARLES HINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA SAUCE-TACKETT
PRESIDENT
11875 SE 1ST ST RD
SILVER SPRINGS FL 34488

Officer/Director/Trustee Two

CATHERINE HINES
VICE PRESIDENT
658 ALWICK WAY
THE VILLAGES FL 32163

Officer/Director/Trustee Three

CHARLES HINES
DIRECTOR
658 ALWICK WAY
THE VILLAGES FL 32163

Officer/Director/Trustee Four

ERIC TACKETT
DIRECTOR
11875 1ST ST RD
SILVER SPRINGS FL 34488

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2015
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 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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