FORM 1023-EZ for ESLIKERS HAVEN FOR CHILDREN

Field Data
EIN 83-2522713
Case Number EO-2018340-000355
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ESLIKERS HAVEN FOR CHILDREN
Organization’s Mailing Address 1537 GREEN MOUNTAIN DR
City WAKE FOREST
State NC
ZIP 27587
Accounting period End 12
Primary contact name ESTHER CROMWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ESTHER CROMWELL
CHAIRMAN
1537 GREEN MOUNTAIN DR
WAKE FOREST NC 27587

Officer/Director/Trustee Two

ELLEN ESLIKER-SAMUELS
VICE CHAIRMAN
5812 SNOOKS TRL
WAKE FOREST NC 27587

Officer/Director/Trustee Three

ISATU MOMOH
SECRETARY/TREASURER
3621 LANDSHIRE VIEW LANE
RALEIGH NC 27616

Officer/Director/Trustee Four

VERONICA CARR
BOARD MEMBER
5207 SANDY BANKS RD
RALEIGH NC 27616

Officer/Director/Trustee Five

TAMMY HEERY
BOARD MEMBER
5128 SANNDY BANKS RD
RALEIGH NC 27616

Organization’s website
Organization’s email ESLIKERHAVEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ESTHER CROMWELL
Signature Title CHAIRMAN
Signature Date 12/3/18

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