FORM 1023-EZ for HEARTPRINTS ANIMAL RESCUE INCORPORATED

Field Data
EIN 83-3175015
Case Number EO-2019051-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTPRINTS ANIMAL RESCUE INCORPORATED
Organization’s Mailing Address 14600 CEMETERY ROAD
City NOBLE
State OK
ZIP 73068
Accounting period End 12
Primary contact name ANDREA CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA CLARK
PRESIDENT
14600 CEMETERY ROAD
NOBLE OK 73068-6736

Officer/Director/Trustee Two

KIM HAYES
VICE PRESIDENT
7720 ALAMEDA
NORMAN OK 73026-3534

Officer/Director/Trustee Three

BRENDA BIRDSONG
SECRETARY
601 SILVER MAPLE LANE
NOBLE OK 73068-9348

Officer/Director/Trustee Four

WILLIAM CLARK
TREASURER
14600 CEMETERY ROAD
NOBLE OK 73068-6736

Officer/Director/Trustee Five

ANDREA CLARK
DIRECTOR
14600 CEMETERY ROAD
NOBLE OK 73068-6736

Organization’s website
Organization’s email HEARTPRINTSANIMALRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/18
Organization Incorporation State OK
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 ANDREA CLARK
Signature Title DIRECTOR
Signature Date 2/15/19

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