FORM 1023-EZ for HAVEN CENTER FOR FAMILIES INC

Field Data
EIN 85-4314876
Case Number EO-2021053-000102
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAVEN CENTER FOR FAMILIES INC
Organization’s Mailing Address 2620 N AUSTRALIAN AVE STE 109
City WEST PALM BEACH
State FL
ZIP 33407
Accounting period End 12
Primary contact name SHANDRA STRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES SMITH JR
PRESIDENT AND CEO
2620 N AUSTRALIAN AVE STE 109
WEST PALM BEACH FL 33407

Officer/Director/Trustee Two

ANGELA SMITH
VICE PRESIDENT
1172 WEST 31ST STREET
RIVIERA BEACH FL 33404

Officer/Director/Trustee Three

SEQUOIA OSBORNE
DIRECTOR
101 WEST 17TH STREET UNIT 1
RIVIERA BEACH FL 33404

Officer/Director/Trustee Four

STEPHANIE MANUEL
DIRECTOR
101 WEST 17TH STREET UNIT 1
RIVIERA BEACH FL 33404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES SMITH JR
Signature Title PRESIDENT AND CEO
Signature Date 12/21/2020

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