FORM 1023-EZ for HALOS SECOND CHANCE ANIMAL RESCUE

Field Data
EIN 81-4553125
Case Number EO-2017164-000192
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HALOS SECOND CHANCE ANIMAL RESCUE
Organization’s Mailing Address 1016 MUIRWOOD BLVD
City MURFREESBORO
State TN
ZIP 37128
Accounting period End 12
Primary contact name REBECCA FLOYD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA FLOYD
FOUNDER - PRESIDENT
1016 MUIRWOOD BLVD
MURFREESBORO TN 37128

Officer/Director/Trustee Two

KAREN CLARK
VICE PRESIDENT
444 WARTRACE ROAD
BELL BUCKLE TN 37020

Officer/Director/Trustee Three

GWYN HILL
TREASURER
6528 LONGVIEW DRIVE
MURFREESBORO TN 37129

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State TN
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 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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