FORM 1023-EZ for HAVEN REST INC
| Field | Data |
|---|---|
| EIN | 83-3941997 |
| Case Number | EO-2019074-000708 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HAVEN REST INC |
| Organization’s Mailing Address | 1985 BAKER WILLIAMS RD |
| City | CORINTH |
| State | KY |
| ZIP | 41010 |
| Accounting period End | 12 |
| Primary contact name | BENJAMIN TORKELSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BENJAMIN TORKELSON
PRESIDENT
1985 BAKER WILLIAMS RD
CORINTH KY 41010
Officer/Director/Trustee Two
JENNIFER TORKELSON
TREASURER
1985 BAKER WILLIAMS RD
CORINTH KY 41010
Officer/Director/Trustee Three
MARK WEIGEL
SECRITARY
235 AMBASSADOR DR
DRY RIDGE KY 41035
| Organization’s website | |
|---|---|
| Organization’s email | LEGAL@HAVENREST.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/7/19 |
| Organization Incorporation State | KY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P62 - Victims' 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 | Yes |
| Conducting Activities Outside of United States | Yes |
| Financial transactions with officers | Yes |
| 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 | BENJAMIN TORKELSON |
| Signature Title | PRESIDENT |
| Signature Date | 3/13/19 |
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