FORM 1023-EZ for JOSIAHS HAVEN

Field Data
EIN 83-3848611
Case Number EO-2019067-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOSIAHS HAVEN
Organization’s Mailing Address 100 TEMPLE BLVD APT 504
City LUFKIN
State TX
ZIP 75901
Accounting period End 12
Primary contact name MARSHA POOLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENDALL BYERLY
OWNER
100 TEMPLE BLVD APT 504
LUFKIN TX 75901

Officer/Director/Trustee Two

DKENDRICK GILDER
DIRECTOR
106 ROSEDALE
LUFKIN TX 75904

Officer/Director/Trustee Three

KIARA GILDER
FINANCIAL DIRECTOR
106 ROSEDALE
LUFKIN TX 75904

Officer/Director/Trustee Four

MILANDRA BYERLY
FINANCIAL DIRECTOR
840 MT CARMEL
LUFKIN TX 75904

Officer/Director/Trustee Five

MARSHA POOLE
ADMIN
412 CHURCH ST
LUFKIN TX 75901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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 Yes
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 MARSHA POOLE
Signature Title ADMIN
Signature Date 3/6/19

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