FORM 1023-EZ for THREE4S HAVEN INC

Field Data
EIN 83-4424109
Case Number EO-2019127-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THREE4S HAVEN INC
Organization’s Mailing Address 271 N CROSSLANE RD
City MONROE
State GA
ZIP 30656-3338
Accounting period End 12
Primary contact name MEREDITH HARRISON SPEARS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEREDITH HARRISON SPEARS
OFFICER INCORPORATOR
271 N CROSSLANE RD
MONROE GA 30656-3338

Officer/Director/Trustee Two

JIMMY SPEARS
OFFICER INCORPORATOR
271 N CROSSLANE RD
MONROE GA 30656-3338

Organization’s website
Organization’s email THREE4HAVEN@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: No
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 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 MEREDITH HARRISON SPEARS
Signature Title OFFICER INCORPORATOR
Signature Date 5/3/19

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