FORM 1023-EZ for HAVEN OF LIGHT INTERNATIONAL INCORPORATED

Field Data
EIN 46-2620244
Case Number EO-2016235-000064
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAVEN OF LIGHT INTERNATIONAL INCORPORATED
Organization’s Mailing Address 863 FLAT SHOALS ROAD SUITE C244
City CONYERS
State GA
ZIP 30094
Accounting period End 12
Primary contact name KIMYA MOTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMYA MOTLEY
PRESIDENT
265 HIGHGATE TRAIL
COVINGTON GA 30016

Officer/Director/Trustee Two

MOSES KABIA
TREASURER
4265 IVY FORK ROAD
LOGANVILLE GA 30052-7502

Officer/Director/Trustee Three

SABRINA JACKSON
SECRETARY
2904 CRABAPPLE CIRCLE
CONYERS GA 30013

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2013
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R24 - Women's Rights
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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