FORM 1023-EZ for YOUTH HAVEN MINISTRIES

Field Data
EIN 82-2670836
Case Number EO-2018289-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUTH HAVEN MINISTRIES
Organization’s Mailing Address 6023 ROWAN RD
City NEW PORT RICHIE
State FL
ZIP 34652
Accounting period End 12
Primary contact name BRUCE WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY LASACCO
PRESIDENT
4314 CHARLESTON ST
NEW PORT RICHIE FL 34652

Officer/Director/Trustee Two

BRUCE WRIGHT
DIRECTOR
426 HAYNES ST
LEWISBURG TN 37091

Officer/Director/Trustee Three

SHANNON POPE
DIRECTOR
500 N MARTIN LUTHER KING JR STREET
CLEARWATER FL 34684

Officer/Director/Trustee Four

RICHARD FINCKE
DIRECTOR
6320 ROWAN ROAD
NEW PORT RICHIE FL 34652

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 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 BRUCE WRIGHT
Signature Title DIRECTOR
Signature Date 10/14/18

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