FORM 1023-EZ for HALOS HARBOR HOUND RESCUE

Field Data
EIN 83-2340307
Case Number EO-2018320-000230
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HALOS HARBOR HOUND RESCUE
Organization’s Mailing Address 5620 MAUSS HILL ROAD
City ADAMS RUN
State SC
ZIP 29426-5537
Accounting period End 12
Primary contact name ROBIN LANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN LANE
PRESIDENT, DIRECTOR
5620 MAUSS HILL ROAD
ADAMS RUN SC 29426-5537

Officer/Director/Trustee Two

KARI SHIVVERS
SECRETARY,TREASURER,DIRECTOR
7214 MOSSY CREEK LANE
HANAHAN SC 29410

Officer/Director/Trustee Three

JAIME CARROL
DIRECTOR
4585 FLOUNDER LAKE ROAD
MEGGETT SC 29449

Organization’s website
Organization’s email FAMILYTWELVE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/18
Organization Incorporation State SC
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 ROBIN LANE
Signature Title PRESIDENT, DIRECTOR
Signature Date 11/14/18

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