FORM 1023-EZ for SOUTHERN HEART ANIMAL RESCUE

Field Data
EIN 83-3777299
Case Number EO-2019071-000615
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHERN HEART ANIMAL RESCUE
Organization’s Mailing Address PO BOX 11239
City YAKIMA
State WA
ZIP 98909
Accounting period End 12
Primary contact name NINA WRIGHT-FRANKLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NINA WRIGHT-FRANKLIN
PRESIDENT
PO BOX 11239
YAKIMA WA 98909

Officer/Director/Trustee Two

BRIAN FRANKLIN
TREASURER
PO BOX 11239
YAKIMA WA 98909

Officer/Director/Trustee Three

STACIE CRISEL
VICE PRESIDENT
PO BOX 11239
YAKIMA WA 98909

Officer/Director/Trustee Four

TABITHA MUNOZ
SECRETARY
PO BOX 11239
YAKIMA WA 98909

Officer/Director/Trustee Five

ZOE WOOD
DIRECTOR
PO BOX 11239
YAKIMA WA 98909

Organization’s website N/A
Organization’s email SOUTHERNHEARTANIMALRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/19
Organization Incorporation State WA
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: 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 NINA WRIGHT-FRANKLIN
Signature Title PRESIDENT
Signature Date 3/6/19

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