FORM 1023-EZ for HAVEN OF MERCY

Field Data
EIN 84-3696008
Case Number EO-2019350-000165
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAVEN OF MERCY
Organization’s Mailing Address 616 W KIEST BLVD
City DALLAS
State TX
ZIP 75224-3457
Accounting period End 12
Primary contact name MS TREVA HIGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELAINE DANIELS
DIRECTOR
1619 E LOUISIANA AVE
DALLAS TX 75203-4334

Officer/Director/Trustee Two

JENNIFER MCCLONEY
DIRECTOR
315 SAFFRON CIRCLE
MESQUITE TX 75149-3027

Officer/Director/Trustee Three

TAMMY BROOK
DIRECTOR
203 BAUDER ST
WAXAHACHIE TX 75165-4021

Officer/Director/Trustee Four

TREVA HIGH
PRESIDENT/CEO
616 W KIEST BLVD
DALLAS TX 75203-3457

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 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 TREVA HIGH
Signature Title PRESIDENT/CEO
Signature Date 12/12/2019

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