FORM 1023-EZ for THE HAVEN FAMILY FUND INC

Field Data
EIN 81-4472195
Case Number EO-2016333-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HAVEN FAMILY FUND INC
Organization’s Mailing Address 19 SAND PINE DRIVE
City PALM COAST,
State FL
ZIP 32137
Accounting period End 12
Primary contact name JAMES GRISWOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES GRISWOLD
DIRECTOR AND SECRETARY
19 SAND PINE DRIVE
PALM COAST, FL 32137

Officer/Director/Trustee Two

WILLIAM HOLLAND
DIRECTOR AND PRESIDENT
12 MARLIN DRIVE
PALM COAST, FL 32137

Officer/Director/Trustee Three

MICHAEL RYAN
DIRECTOR
107 FRONT STREET
PALM COAST, FL 32137

Officer/Director/Trustee Four

BARBARA DAHME-MCCARTHY
DIRECTOR AND TREASURER
29 MARSHVIEW LANE
PALM COAST, FL 32137

Officer/Director/Trustee Five

EDMOND MAY
DIRECTOR
11 OSPREY CIRCLE
PALM COAST, FL 32137

Organization’s website
Organization’s email JRGSFG@MAC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 Yes
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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