FORM 1023-EZ for THE HAVEN SUPPORT INC

Field Data
EIN 83-1866700
Case Number EO-2018256-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HAVEN SUPPORT INC
Organization’s Mailing Address PO BOX 1183
City QUOGUE
State NY
ZIP 11959
Accounting period End 12
Primary contact name NANCY TREUHOLD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY TREUHOLD
DIRECTOR
111 QUOGUE STREET
NEW YORK NY 10128-1234

Officer/Director/Trustee Two

JESSICA BICK
DIRECTOR
235 WEST 72ND STREET
NEW YORK NY 10023

Officer/Director/Trustee Three

JOHN BICK
DIRECTOR
PO BOX 1183
QUOGUE NY 11959

Organization’s website WWW.THEHAVENSUPPORT
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 NANCY TREUHOLD
Signature Title DIRECTOR
Signature Date 9/11/18

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