FORM 1023-EZ for LIBRARY HAVEN

Field Data
EIN 81-1008557
Case Number EO-2016012-000037
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIBRARY HAVEN
Organization’s Mailing Address 140 PINTO RUN LN
City NOEL
State MO
ZIP 64854
Accounting period End 12
Primary contact name ANITA BAILEY PHD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANITA BAILEY PHD
DIRECTOR
PO BOX 862
NOEL MO 64854-9345

Officer/Director/Trustee Two

RICHARD BAILEY
MANAGER
140 PINTO RUN LN
NOEL MO 64854-9345

Officer/Director/Trustee Three

JAMIE HALL
TREASURER
1327 N PARK AVE
SPRINGFIELD MO 65802

Officer/Director/Trustee Four

JUSTIN EVANGELISTA
EXECUTIVE SECRETARY
2215 N MAIN AVE
SPRINGFIELD MO 65803

Organization’s website WWW.LIBRARYHAVEN.ORG
Organization’s email ELKRIVER@4SECUREMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B70 - Libraries
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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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