FORM 1023-EZ for MYSTERYS HAVEN INC

Field Data
EIN 86-1873431
Case Number EO-2021092-001043
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MYSTERYS HAVEN INC
Organization’s Mailing Address 15319 IMLAY CITY ROAD
City MUSSEY
State MI
ZIP 48014
Accounting period End 12
Primary contact name JENNIFER SAWYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER SAWYER
PRESIDENT/DIRECTOR
15319 IMLAY CITY ROAD
MUSSEY MI 48014

Officer/Director/Trustee Two

JASON SAWYER
TREASURER/DIRECTOR
15319 IMLAY CITY ROAD
MUSSEY MI 48014

Officer/Director/Trustee Three

MELISSA BERZ
SECRETARY
58008 LUTES ST
NEW HAVEN MI 48048

Organization’s website MYSTERYS-HAVEN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 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 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 JENNIFER SAWYER
Signature Title PRESIDENT/DIRECTOR
Signature Date 2/25/2021

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