FORM 1023-EZ for HAPPY TAILS RESCUE RETIREMENT HOME

Field Data
EIN 83-3459633
Case Number EO-2019050-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAPPY TAILS RESCUE RETIREMENT HOME
Organization’s Mailing Address 145 WEST MAPLE AVE
City MORRISVILLE
State PA
ZIP 19067
Accounting period End 12
Primary contact name STACEY E HERRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACEY HERRICK
PRESIDENT
145 WEST MAPLE AVE
MORRISVILLE PA 19067

Officer/Director/Trustee Two

BRUCE HERRICK
VICE PRESIDENT
145 WEST MAPLE AVE
MORRISVILLE PA 19067

Officer/Director/Trustee Three

MICHELE ALLEN
TREASURER
425 ISAAC BUDD RD
SOUTHAMPTON NJ 8088

Officer/Director/Trustee Four

DIANA BAUER
SECRETARY
3005 FULLER TURN
BENSALEM PA 19020

Officer/Director/Trustee Five

JEAN KRYVEN
MEMBER
520 LAFAYETTE ST
BRISTOL PA 19007-3938

Organization’s website
Organization’s email HAPPYTAILSRESCUEPA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/18
Organization Incorporation State PA
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: 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 STACEY HERRICK
Signature Title PRESIDENT
Signature Date 2/15/19

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