FORM 1023-EZ for HILLSIDE HAVEN PIG RESCUE

Field Data
EIN 83-1415729
Case Number EO-2019085-000429
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HILLSIDE HAVEN PIG RESCUE
Organization’s Mailing Address 32005 JACINTO AVE
City NUEVO
State CA
ZIP 92567
Accounting period End 7
Primary contact name JENNIFER LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER LEWIS
DIRECTOR
PO BOX 293
NUEVO CA 92567

Officer/Director/Trustee Two

MATTHEW LEWIS
TREASURER
PO BOX 293
NUEVO CA 92567

Officer/Director/Trustee Three

SHEILA MOLL
SECRETARY
PO BOX 293
NUEVO CA 92567

Organization’s website WWW.HILLSIDEHAVENPIGRESCUE.COM
Organization’s email INFO@HILLSIDEHAVENPIGRESCUE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
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 No
Correctness Declaration Yes
Signature Name JENNIFER LEWIS
Signature Title DIRECTOR
Signature Date 3/24/19

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