| Field | Data |
|---|---|
| EIN | 86-2313276 |
| Case Number | EO-2021100-000686 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | QUEEN CITY HAVEN INCORPORATED |
| Organization’s Mailing Address | 5565 MANSIONS BLUFF APT 2305 |
| City | SAN ANTONIO |
| State | TX |
| ZIP | 78245 |
| Accounting period End | 12 |
| Primary contact name | KIMBERLY LEWIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KIMBERLY LEWIS
PRESIDENT
5565 MANSIONS BLFS APT 2305
SAN ANTONIO TX 78245
JAMES SCOTT
VICE PRESIDENT
2960 MOUNT HOLLY ROAD
CAMDEN AR 71701
OPHELIA GILL
SECRETARY
584 CLUB ROAD
CAMDEN AR 71701
KIUNA ARMSTRONG
TREASURER
5565 MANSIONS BLFS APT 2305
SAN ANTONIO TX 78245
VALERIE WILSON
DIRECTOR
101 N HALEY AVE
CAMDEN AR 71701
| Organization’s website | |
|---|---|
| Organization’s email | KLEWIBBLUE20@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/24/2021 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K30 - Food Service, Free Food Distribution Programs |
| 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 | Yes |
| 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 | Yes |
| 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 | KIMBERLY LEWIS |
| Signature Title | PRESIDENT |
| Signature Date | 3/31/2021 |
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