FORM 1023-EZ for INSIDE THE HAVEN

Field Data
EIN 47-5208948
Case Number EO-2021091-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INSIDE THE HAVEN
Organization’s Mailing Address 1242 SAN JUAN DRIVE
City FLINT
State MI
ZIP 48504
Accounting period End 12
Primary contact name LENA TOY PRIDEGON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LENA TOY PRIDEGON
PRESIDENT
1242 SAN JUAN DRIVE
FLINT MI 48504

Officer/Director/Trustee Two

LATRELLE PICKENS
VICE PRESIDENT
27691 SPRING ARBOR DRIVE
SOUTHFIELD MI 48076

Officer/Director/Trustee Three

TAMEKA STINSON
SECRETARY/TREASURER
1805 WEST HOME AVENUE
FLINT MI 48504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 LENA TOY PRIDEGON
Signature Title PRESIDENT
Signature Date 2/18/2021

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