FORM 1023-EZ for OUR HAVEN OF HOPE

Field Data
EIN 82-1637534
Case Number EO-2018204-000413
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUR HAVEN OF HOPE
Organization’s Mailing Address 200 SOURWOOD ROAD
City GOLDSBORO
State NC
ZIP 27534
Accounting period End 6
Primary contact name SABRINA SHIVAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SABRINA SHIVAR
CHIEF EXECUTIVE OFFICER
200 SOURWOOD RD
GOLDSBORO NC 27534

Officer/Director/Trustee Two

CHRISTOPHER SHIVAR
VICE PRESIDENT
200 SOURWOOD RD
GOLDSBORO NC 27534

Officer/Director/Trustee Three

JAMES BRINSON
TREASURER
206 OAK CIRCLE DRIVE
GOLDSBORO PA 27534

Officer/Director/Trustee Four

DARLINE ALLEN
TRUSTEE
5831 NORTH SIXTH STREET
PHILDELPHIA PA 19120

Officer/Director/Trustee Five

ANTHONY SMITH
TRUSTEE
2856 NORTH GARNET STREET
PHILADELPHIA PA 19132

Organization’s website
Organization’s email OURHAVENOFHOPE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 SABRINA SHIVAR
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 7/20/18

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