FORM 1023-EZ for CAMP HAVEN SANCTUARY

Field Data
EIN 87-1400570
Case Number EO-2021279-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP HAVEN SANCTUARY
Organization’s Mailing Address 549 MESQUITE DRIVE
City CEDAR CREEK
State TX
ZIP 78612
Accounting period End 12
Primary contact name JOSIAH INGALLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSIAH INGALLS
PRES & DIR & TREAS
549 MESQUITE DRIVE
CEDAR CREEK TX 78612

Officer/Director/Trustee Two

JANET INGALLS
VICE PRESIDENT & DIR
549 MESQUITE DRIVE
CEDAR CREEK TX 78612

Officer/Director/Trustee Three

HEATHER WELCH
SECRETARY & DIRECTOR
181 BLACKFOOT TRAIL
BANDERA TX 78003

Officer/Director/Trustee Four

HEATHER INGALLS
DIRECTOR
549 MESQUITE DRIVE
CEDAR CREEK TX 78612

Officer/Director/Trustee Five

KELLY INGALLS
DIRECTOR
549 MESQUITE DRIVE
CEDAR CREEK TX 78612

Organization’s website
Organization’s email CAMPHAVENSANCTUARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
Donation of funds Yes
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 JOSIAH INGALLS
Signature Title PRES & DIR & TREAS
Signature Date 10/4/2021

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