FORM 1023-EZ for HEAVENLY HOUNDS RESCUE

Field Data
EIN 47-5594210
Case Number EO-2016067-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEAVENLY HOUNDS RESCUE
Organization’s Mailing Address 10401 BEAVER BRIDGE RD
City CHESTERFIELD
State VA
ZIP 23838
Accounting period End 12
Primary contact name ANN HERNDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANN HERNDON
PRESIDENT
10401 BEAVER BRIDGE RD
CHESTERFIELD VA 23838

Officer/Director/Trustee Two

PATRICIA MARTIN
VICE PRESIDENT
135 DEER RD
GUM SPRINGS VA 23065

Officer/Director/Trustee Three

TONI PEYTON
SECRETARY
2698 DOGTOWN RD
GOOCHLAND VA 23063

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2016
Organization Incorporation State VA
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
Signature Title
Signature Date

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