FORM 1023-EZ for SISTERS HAVEN INC

Field Data
EIN 47-3308412
Case Number EO-2015358-000086
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SISTERS HAVEN INC
Organization’s Mailing Address 3818 BROWN ROAD
City LANCASTER
State SC
ZIP 29720
Accounting period End 2
Primary contact name GERUTHAL SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANDRA FRAZIER
CHAIR
3818 BROWN ROAD
LANCASTER RI 29720

Officer/Director/Trustee Two

GERUTHAL SMITH
VICE CHAIR
3818 BROWN ROAD
LANCASTER SC 29720

Officer/Director/Trustee Three

NICHELL SMITH
SECRETARY
3818 BROWN ROAD
LANCASTER SC 29720

Officer/Director/Trustee Four

OSCAR FRAZIER
TREASURER
3818 BROWN ROAD
3818 BROWN ROAD SC 29720

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2015
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
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
Signature Title
Signature Date

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