FORM 1023-EZ for ARK HAVEN INC

Field Data
EIN 83-2642079
Case Number EO-2021018-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARK HAVEN INC
Organization’s Mailing Address 5436 N 2ND STREET
City PHILADELPHIA
State PA
ZIP 19120
Accounting period End 12
Primary contact name JASMINE TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASMINE TAYLOR
EXECUTIVE DIRECTOR
13512 BUSTLETON AVE APT 2211
PHILADELPHIA PA 19116

Officer/Director/Trustee Two

TIERRA TAYLOR
TREASURER
13512 BUSTLETON AVE APT 2211
PHILADELPHIA PA 19116

Officer/Director/Trustee Three

SHANTAE ELLIS
SECRETARY
144 FRIENDSHIP ROAD
ELKTON ND 21921

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2018
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: Yes
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 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JASMINE TAYLOR
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/20/2020
EIN 83-2642079
Case Number EO-2021250-000788
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARK HAVEN INC
Organization’s Mailing Address 13512 BUSTLETON AVE APT 2211
City PHILADELPHIA
State PA
ZIP 19116
Accounting period End 12
Primary contact name JASMINE TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASMINE TAYLOR
PRESIDENT
13512 BUSTLETON AVE APT 2211
PHILADELPHIA PA 19116

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2018
Organization Incorporation State PA
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: No
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 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 JASMINE TAYLOR
Signature Title PRESIDENT
Signature Date 9/6/2021

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