FORM 1023-EZ for HAVEN OF RESTORATION INC
| Field | Data |
|---|---|
| EIN | 84-3397702 |
| Case Number | EO-2019296-000423 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HAVEN OF RESTORATION INC |
| Organization’s Mailing Address | 177 WHITLEY CHURCH ROAD |
| City | PRINCETON |
| State | NC |
| ZIP | 27569 |
| Accounting period End | 12 |
| Primary contact name | LAVELLE PAYNE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LAVELLE PAYNE
PRESIDENT
177 WHITLEY CHURCH ROAD
PRINCETON NC 27569
Officer/Director/Trustee Two
LOUANN LAUGHLIN
TREASURER
430 DOGWOOD TRAIL
GOLDSBORO NC 27530
Officer/Director/Trustee Three
SUSANNA CARTER
SECRETARY
2620 OLD SMITHFIELD ROAD
PRINCETON NC 27569
Officer/Director/Trustee Four
DAWNETIA BOUKNIGHT
DIRECTOR
210 E LAKE DR
GOLDSBORO NC 27530
Officer/Director/Trustee Five
SHERRY HONEYCUTT
DIRECTOR
105 JESSICA PLACE
GOLDSBORO NC 27534
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/17/19 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | LAVELLE PAYNE |
| Signature Title | PRESIDENT |
| Signature Date | 10/21/19 |
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