FORM 1023-EZ for HEART AND SOUL PARROT RESCUE

Field Data
EIN 83-2459178
Case Number EO-2019288-000329
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART AND SOUL PARROT RESCUE
Organization’s Mailing Address PO BOX 333
City WEST MIFFLIN
State PA
ZIP 15122
Accounting period End 12
Primary contact name NATHAN DONSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE EVERITT
PRESIDENT
4534 HOMERIDGE DRIVE
MUNHALL PA 15120

Officer/Director/Trustee Two

SHERRY JOHNSON
SECRETARY
2117 PENNSYLVANIA AVE
WEST MIFFLIN PA 15122

Officer/Director/Trustee Three

NATHAN DONSEN
TREASURER
1007 N MCKEAN ST
KITTANNING PA 16201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D34 - Wildlife Sanctuary, Refuge
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 CHRISTINE EVERITT
Signature Title PRESIDENT
Signature Date 10/11/19

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