FORM 1023-EZ for HARBOR RESCUE

Field Data
EIN 46-3108210
Case Number EO-2015183-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARBOR RESCUE
Organization’s Mailing Address PO BOX 1158
City COSMOPOLIS
State WA
ZIP 98537
Accounting period End 12
Primary contact name DEBRA THOMAS-BLAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANDY CARRICO
PRESIDENT, DIRECTOR
1903 OLYMPIC ST
ABERDEEN WA 98520

Officer/Director/Trustee Two

ELIZABETH CARRICO
SECRETARY, DIRECTOR
122 SUNRISE AVE
OCEAN SHORES WA 98569

Officer/Director/Trustee Three

DEBRA THOMAS-BLAKE
TREASURER, DIRECTOR
PO BOX 1158
COSMOPOLIS WA 98537

Organization’s website WWW.HARBORRESCUE.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2013
Organization Incorporation State WA
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: 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 Yes
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
Signature Title
Signature Date

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