FORM 1023-EZ for HOPE HAVEN TRANSITIONAL HOUSING INC

Field Data
EIN 47-5087581
Case Number EO-2017144-000369
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOPE HAVEN TRANSITIONAL HOUSING INC
Organization’s Mailing Address 510 US HIGHWAY 27 N
City AVON PARK
State FL
ZIP 33825
Accounting period End 12
Primary contact name LESLIE BEHM COO AND DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER STEPHENSON
PRESIDENT
3015 HERRING AVENUE
SEBRING FL 33870

Officer/Director/Trustee Two

BECKY RIVERA
VICE PRESIDENT
4024 GARIENDA AVENUE
SEBRING FL 33870

Officer/Director/Trustee Three

SHANNON MCCRACKEN
TREASURER
28 LAWHON STREET
AVON PARK FL 33825

Officer/Director/Trustee Four

LENISA RAGOODIAL
SECRETARY
1005 WEST CIRCLE STREET
AVON PARK FL 33825

Officer/Director/Trustee Five

LESLIE BEHM
DIRECTOR CHIEF OPERATING OFFICER
510 US HWY 27 N
AVON PARK FL 33872

Organization’s website
Organization’s email BOOMER23BB@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2015
Organization Incorporation State FL
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 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 Yes
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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