FORM 1023-EZ for HAPPY HEARTS DOG RESCUE

Field Data
EIN 83-4345004
Case Number EO-2020055-000754
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAPPY HEARTS DOG RESCUE
Organization’s Mailing Address 12706 THERIOT TRAIL
City AUSTIN
State TX
ZIP 78727
Accounting period End 4
Primary contact name ADRIANA ROBLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIANA ROBLES
DIRECTOR
12706 THERIOT TRAIL
AUSTIN TX 78727-6915

Officer/Director/Trustee Two

TEDD GROGAN
DIRECTOR
12706 THERIOT TRAIL
AUSTIN TX 78727-6915

Officer/Director/Trustee Three

ALYSON HORAK
DIRECTOR
1513 AUSTRALIS COVE
AUSTIN TX 78732-2431

Organization’s website HAPPYHEARTSDOGRESCUE.ORG
Organization’s email HAPPYHEARTSDOGRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 ADRIANA ROBLES
Signature Title DIRECTOR
Signature Date 2/21/2020

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