FORM 1023-EZ for HEALY PACK SENIOR GSD SANCTUARY INC

Field Data
EIN 84-3212527
Case Number EO-2019277-000637
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALY PACK SENIOR GSD SANCTUARY INC
Organization’s Mailing Address 3721 DARTMOUTH AVE N
City ST PETERSBURG
State FL
ZIP 33713
Accounting period End 12
Primary contact name LINDA HEALY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA HEALY
PRESIDENT, DIRECTOR
3721 DARTMOUTH AVE N
ST PETERSBURG FL 33713

Officer/Director/Trustee Two

LACINDA WILSON
SECRETARY, DIRECTOR
3905 62ND ST E
BRADENTON FL 34208

Officer/Director/Trustee Three

ANNE LONG
TREASURER, DIRECTOR
389 GREEN RD
SPARTA NJ 7871

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 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 LINDA HEALY
Signature Title PRESIDENT, DIRECTOR
Signature Date 10/1/19

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