FORM 1023-EZ for AMERICAN PRIMATE HAVEN

Field Data
EIN 82-2450994
Case Number EO-2017226-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN PRIMATE HAVEN
Organization’s Mailing Address 49 PINE STREET
City ONANCOCK
State VA
ZIP 23417
Accounting period End 8
Primary contact name PEGGY RICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY RICE
PRESIDENT
49 PINE STREET
ONANCOCK VA 23417

Officer/Director/Trustee Two

POLLY CUSTIS
VICE PRESIDENT
PO BOX 552
BELLE HAVEN VA 23306

Officer/Director/Trustee Three

SUSAN HICKS
SECRETARY
3713 METHODIST PARK RD
VALDESE NC 28690

Officer/Director/Trustee Four

JENNIE RICE
TREASURER
PO BOX 23
ONANCOCK VA 23417

Organization’s website
Organization’s email MONKEYTALES@YMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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