FORM 1023-EZ for THE HAVEN INC

Field Data
EIN 82-2603881
Case Number EO-2017243-000234
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HAVEN INC
Organization’s Mailing Address 98 FRENCH AVENUE
City BROCKTON
State MA
ZIP 02301-6519
Accounting period End 12
Primary contact name PETER S MARINELLI ATTORNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH SNOW
PRESIDENT
2 ALLENS WAY
FOXBORO MA 02035-1738

Officer/Director/Trustee Two

KOREN CAPPIELLO
TREASURER
45 SCHOOL STREET
BROCKTON MA 02301-4049

Officer/Director/Trustee Three

LEE WEEKS
CLERK
130 PARK AVENUE
E BRIDGEWATER MA 02333-1702

Officer/Director/Trustee Four

SHARON WILLIAMS
DIRECTOR
39 WILLOW POND DRIVE
ROCKLAND MA 02370-2673

Officer/Director/Trustee Five

DAVE CAPOZZI
DIRECTOR
214 WEST ELM STREET 3
BROCKTON MA 02301-4261

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
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 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 Yes
One Third Support Gifts No
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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