FORM 1023-EZ for OPHELIAS HAVEN

Field Data
EIN 86-2564717
Case Number EO-2021102-000352
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPHELIAS HAVEN
Organization’s Mailing Address 1091 BASALT RIDGE LOOP
City CASTLE ROCK
State CO
ZIP 80108
Accounting period End 12
Primary contact name ALYSSA KUENNING KONYA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALYSSA KUENNING KONYA
PRESIDENT AND CFO
1091 BASALT RIDGE LOOP
CASTLE ROCK CO 80108

Officer/Director/Trustee Two

JOHN KUENNING
CHAIRMAN OF THE BOARD
10077 QUARRY HILL PLACE
PARKER CO 80134

Organization’s website
Organization’s email ALYSSA@OPHELIASHAVEN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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 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 ALYSSA KUENNING KONYA
Signature Title PRESIDENT AND CFO
Signature Date 4/2/2021

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