FORM 1023-EZ for HEART HAVEN MINISTRIES

Field Data
EIN 82-0885400
Case Number EO-2017130-000508
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART HAVEN MINISTRIES
Organization’s Mailing Address PO BOX 956
City BARTOW
State FL
ZIP 33831
Accounting period End 10
Primary contact name JENNIFER MIRANDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER MIRANDA
PRESIDENT
1607 TAYLOR LANDING DR
BARTOW FL 33830

Organization’s website HEARTHAVENMINISTRIES.ORG
Organization’s email JENNAH@HEARTHAVENMINISTRIES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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