FORM 1023-EZ for HAVEN YOUTH EMPOWERMENT INC

Field Data
EIN 84-2174943
Case Number EO-2019182-000409
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAVEN YOUTH EMPOWERMENT INC
Organization’s Mailing Address 2 GRAMATAN AVENUE - SUITE 307
City MOUNT VERNON
State NY
ZIP 10550
Accounting period End 12
Primary contact name MARSHAL H DAVIS ESQ - DAVIS LAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUTH WARWICK
DIRECTOR & PRESIDENT
41 D EDGEWATER PARK
BRONX NY 10465

Officer/Director/Trustee Two

REESE BASILE
DIRECTOR, VICE PRESIDENT
250 EAST GUNHILL ROAD - 4K
BRONX NY 10467

Officer/Director/Trustee Three

IDITH KORMAN
DIRECTOR, SECRETARY, TREASURER
257 WEST 86TH STREET
NEW YORK NY 10024

Organization’s website WWW.HAVENYOUTHEMPOWERMENT.ORG
Organization’s email INFO@HAVENYOUTHEMPOWERMENT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 RUTH WARWICK
Signature Title DIRECTOR & PRESIDENT
Signature Date 6/27/19

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