FORM 1023-EZ for HAVEN FOR DIVINE RESTORATION

Field Data
EIN 47-5019528
Case Number EO-2017170-000397
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAVEN FOR DIVINE RESTORATION
Organization’s Mailing Address 3442 RAVINIA CIRCLE
City AURORA
State IL
ZIP 60504
Accounting period End 12
Primary contact name MAAME MARYAM SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAAME SMITH
FOUNDER PRESIDENT
3442 RAVINIA CIRCLE
AURORA IL 60504

Officer/Director/Trustee Two

EMILY ONYEAGHALA
VICE PRESIDENT
216 3RD AVE SE - 305
OSSEO MN 55369

Officer/Director/Trustee Three

REJOICE TARFA
TREASURER
1330 CHAMBER OAKS DRIVE
SPRING LAKE PARK MN 55432

Officer/Director/Trustee Four

NENADI ADAMU
DIRECTOR - PROGRAM INITIATIVES
3442 RAVINIA CIRCLE
AURORA IL 60504

Officer/Director/Trustee Five

NANA SARATU GARA
DIRECTOR
3442 RAVINIA CIRCLE
AURORA IL 60504

Organization’s website WWW.HAVENFORDIVINERESTORATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Donation of funds No
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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