FORM 1023-EZ for HAVEN SENIOR CITIZENS CENTER INCORPORATED

Field Data
EIN 48-0949332
Case Number EO-2021035-000401
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAVEN SENIOR CITIZENS CENTER INCORPORATED
Organization’s Mailing Address P O BOX 55
City HAVEN
State KS
ZIP 67543-0055
Accounting period End 12
Primary contact name LINDA FOOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEONARD SCHAFF
PRESIDENT
108 SOUTH SEDGWICK STREET
HAVEN KS 67543

Officer/Director/Trustee Two

DANNY FOOS
VICE-PRESIDENT
201 NORTH RENO AVENUE
HAVEN KS 67543

Officer/Director/Trustee Three

LINDA FOOS
SECRETARY/TREASURER
201 NORTH RENO AVENUE
HAVEN KS 67543

Officer/Director/Trustee Four

BILL VENTERS
DIRECTOR
116 SOUTH EMPORIA STREET
HAVEN KS 67543

Officer/Director/Trustee Five

CHARLES DICKEY
DIRECTOR
1401 WOODBRIDGE COURT
HUTCHINSON KS 67502

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/1981
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name LINDA FOOS
Signature Title SECRETARY/TREASURER
Signature Date 12/18/2020

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