FORM 1023-EZ for HAVEN GATHERING PLACE INC

Field Data
EIN 84-3942386
Case Number EO-2020034-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAVEN GATHERING PLACE INC
Organization’s Mailing Address 13114 E LAKE CABLE ROAD
City HAVEN
State KS
ZIP 67543
Accounting period End 12
Primary contact name JESSICA SCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA SCHMIDT
DIRECTOR
13114 E LAKE CABLE ROAD
HAVEN KS 67543

Officer/Director/Trustee Two

JILL SNYDER
DIRECTOR
9015 E 43RD AVE
BUHLER KS 67522

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2019
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JESSICA SCHMIDT
Signature Title DIRECTOR
Signature Date 1/30/2020

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