FORM 1023-EZ for HAVENS WOMEN OF GOD IN UNITY INC

Field Data
EIN 81-1835511
Case Number EO-2017048-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAVENS WOMEN OF GOD IN UNITY INC
Organization’s Mailing Address 323 SW ROYAL CT
City LAKE CITY
State FL
ZIP 32024
Accounting period End 12
Primary contact name FANNIE FIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FANNIE FIELDS
PRESIDENT, DIRECTOR
323 SW ROYAL CT
LAKE CITY FL 32024

Officer/Director/Trustee Two

WILLIE MAE MCNEILL
VICE PRESIDENT, DIRECTOR
301 SPRING ST
HAMLET NC 28345

Officer/Director/Trustee Three

KATHY DIX
TREASURER, DIRECTOR
1129 SE VIOLET PL
LAKE CITY FL 32025

Officer/Director/Trustee Four

PAULINE DAVIS
SECRETARY, DIRECTOR
925 SE PUTMAN ST
LAKE CITY FL 32055

Officer/Director/Trustee Five

MARY DEWBERRY
ASSIST. SECRETARY, DIRECTOR
519 STEPHANIE DR
MISSOURI CITY TX 77489

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/29/2016
Organization Incorporation State FL
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: Yes
Educational: Yes
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 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
Signature Title
Signature Date

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