FORM 1023-EZ for KENNYS HAVEN INC

Field Data
EIN 85-2159504
Case Number EO-2020211-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KENNYS HAVEN INC
Organization’s Mailing Address 3382 MCMINDES RD
City TROUPSBURG
State NY
ZIP 14885
Accounting period End 12
Primary contact name JULIA DYKEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIA DYKEMAN
PRESIDENT, TREASURER
3382 MCMINDES RD
TROUPSBURG NY 14885

Officer/Director/Trustee Two

CLAUDIA TIETZE
VICE PRESIDENT
2386 N MENZIES COURT
PORTLAND OR 97217

Officer/Director/Trustee Three

JARED HOLFELTZ
SECRETARY
501 SE 123RD AVE APT F40
VANCOUVER WA 98683

Organization’s website KENNYSHAVEN.ORG
Organization’s email JULIADYKEMAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JULIA DYKEMAN
Signature Title PRESIDENT, TREASURER
Signature Date 7/27/2020

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