FORM 1023-EZ for HANNAHS HAVEN INC

Field Data
EIN 81-1244642
Case Number EO-2016034-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HANNAHS HAVEN INC
Organization’s Mailing Address 7909 SOUTHERN HILLS LANE
City ROWLETT
State TX
ZIP 75089
Accounting period End 12
Primary contact name SHARON HULTGREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHARON HULTGREN
PRESIDENT
3806 BLUFF DRIVE
LEWIS CENTER OH 43035

Officer/Director/Trustee Two

STACY PICKETT
VICE PRESIDENT
3806 BLUFF DRIVE
LEWIS CENTER OH 43035

Officer/Director/Trustee Three

HANNAH HULTGREN
SECRETARY
3806 BLUFF DRIVE
LEWIS CENTER OH 43035

Officer/Director/Trustee Four

CATHY BRONSON
DIRECTOR
2316 E 38TH ST SO
BIXBY OK 74008

Officer/Director/Trustee Five

YVONNE NEWKIRK
DIRECTOR
7909 SOUTHERN HILLS LANE
ROWLETT TX 75089

Organization’s website WWW.HANNAHSHAVEN.ORG
Organization’s email SHARON@HANNAHSHAVEN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
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
Signature Title
Signature Date

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