FORM 1023-EZ for CHRISTOPHERS HAVEN ATLANTA INC

Field Data
EIN 85-3771770
Case Number EO-2021181-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRISTOPHERS HAVEN ATLANTA INC
Organization’s Mailing Address 131 PONCE DE LEON AVENUE SUITE 432
City ATLANTA
State GA
ZIP 30308-2129
Accounting period End 12
Primary contact name WARREN F BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOYCE DUVALL
CEO
31 HAWKS BRANCH LANE
WHITE GA 30184-3249

Officer/Director/Trustee Two

WILLIAM DUVALL
CFO
31 HAWKS BRANCH LANE
WHITE GA 30184-3249

Officer/Director/Trustee Three

BENJAMIN EATON
SECRETARY
494 EMORY CIRCLE
ATLANTA GA 30307-1161

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2020
Organization Incorporation State GA
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 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 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 JOYCE DUVALL
Signature Title CEO
Signature Date 6/28/2021

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