FORM 1023-EZ for HAVE ONE INC

Field Data
EIN 83-2365232
Case Number EO-2019071-000871
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAVE ONE INC
Organization’s Mailing Address 3767 MOUNT CARMEL LANE
City MELBOURNE
State FL
ZIP 32901
Accounting period End 4
Primary contact name RICA CLEMENTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICA CLEMENTS
CEO, CFO
3767 MOUNT CARMEL LANE
MELBOURNE FL 32901

Officer/Director/Trustee Two

ARIEL RAMJASS-CHOTOO
COO, CFO
3767 MOUNT CARMEL LANE
MELBOURNE FL 32901

Officer/Director/Trustee Three

FRANCHESCA YEARBY
SECRETARY
3767 MOUNT CARMEL LANE
MELBOURNE FL 32901

Organization’s website HAVEONE.ORG
Organization’s email HAVEONE2018@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 No
Conducting Activities Outside of United States Yes
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 RICA CLEMENTS
Signature Title CEO, CFO
Signature Date 3/10/19

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