FORM 1023-EZ for GREENSTONE HAVEN INC

Field Data
EIN 47-5631984
Case Number EO-2019077-000484
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREENSTONE HAVEN INC
Organization’s Mailing Address 1405 HANDLEY AVENUE
City WINCHESTER
State VA
ZIP 22601
Accounting period End 6
Primary contact name CATHERINE P BALLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT FEDAK
PRESIDENT
1316 PINECROFT LANE
CHESAPEAKE VA 23323

Officer/Director/Trustee Two

CARROLL ALLRED
VICE-PRESIDENT
6100 FOREST WOOD ROAD
MIDLOTHIAN VA 23112

Officer/Director/Trustee Three

CATHERINE BALLARD
SECRETARY
1405 HANDLEY AVENUE
WINCHESTER VA 22601

Officer/Director/Trustee Four

CAROLINE METSCH
TREASURER
106 REYNARD DRIVE
CHARLOTTESVILLE VA 22901

Organization’s website
Organization’s email GREENSTONEHAVEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/15
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M11 - Single Organization Support
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CATHERINE BALLARD
Signature Title SECRETARY
Signature Date 3/14/19

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