FORM 1023-EZ for JASPERS HAVEN

Field Data
EIN 87-1921126
Case Number EO-2021277-000462
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JASPERS HAVEN
Organization’s Mailing Address 925 FREEDOM WAY
City BIG WATER
State UT
ZIP 84741
Accounting period End 12
Primary contact name ALEX GARDINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN GIBASON
DIRECTOR AND PRESIDENT
410311
BIG WATER UT 84741

Officer/Director/Trustee Two

LISA FITZGERALD
DIRECTOR-SECRETARY-TREAS
410311
BIG WATER UT 84741

Organization’s website NOT APPLICABLE
Organization’s email SGIBASON@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/2018
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 SUSAN GIBASON
Signature Title DIRECTOR AND PRESIDENT
Signature Date 10/1/2021

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