FORM 1023-EZ for PHOENIX HAVEN INC
| Field | Data |
|---|---|
| EIN | 83-3966086 |
| Case Number | EO-2019084-000584 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PHOENIX HAVEN INC |
| Organization’s Mailing Address | 7 TYSON ROAD |
| City | SOUTH EASTON |
| State | MA |
| ZIP | 2375 |
| Accounting period End | 12 |
| Primary contact name | LINETTE CASEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LINETTE CASEY
PRESIDENT
7 TYSON ROAD
SOUTH EASTON MA 2375
Officer/Director/Trustee Two
JEN GAVELIS
TREASURER
763 LINCOLN STREET
FRANKLIN MA 2038
Officer/Director/Trustee Three
DANIEL CASEY
VICE PRESIDENT
7 TYSON ROAD
SOUTH EASTON MA 2375
Officer/Director/Trustee Four
KRISTI GLENN
SECRETARY
101 SYCAMORE STREET
BROCKTON MA 2301
Officer/Director/Trustee Five
SYLVIE DUGAS
REGISTERED AGENT
2 WESLEY DRIVE
MENDON MA 1756
| Organization’s website | |
|---|---|
| Organization’s email | PHOENIXHAVEN.EASTON@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/21/19 |
| Organization Incorporation State | MA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L24 - Disability Housing |
| 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 | 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 | Yes |
| 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 | LINETTE CASEY |
| Signature Title | PRESIDENT |
| Signature Date | 3/22/19 |
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