FORM 1023-EZ for MZ B HAVEN

Field Data
EIN 80-0972336
Case Number EO-2020174-000635
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MZ B HAVEN
Organization’s Mailing Address 1606 WILLOW WREN CRT UNIT 309
City FLORISSANT
State MO
ZIP 63033
Accounting period End 9
Primary contact name BARBARA HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA HARRIS

675 WILSHIRE DR
FLORISSANT MO 63033

Officer/Director/Trustee Two

FINAS BARBER
DIRECTOR OF FINANCE / TRUSTEE
675 WILSHIRE DR
FLORISSANT MO 63033

Organization’s website
Organization’s email ONLY1MZBHAVEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 BARBARA HARRIS
Signature Title
Signature Date 6/18/2020

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