FORM 1023-EZ for HAVEN CHILDREN ORPHANAGE INC

Field Data
EIN 81-1406142
Case Number EO-2016130-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAVEN CHILDREN ORPHANAGE INC
Organization’s Mailing Address 150 SHINGLE HILL RD
City WEST HAVEN
State CT
ZIP 06516
Accounting period End 12
Primary contact name THERESA BOATENG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THERESA BOATENG
PRESIDENT
150 SHINGLE HILL RD
WEST HAVEN CT 06516

Officer/Director/Trustee Two

STANLEY OKANCEY
SECRETARY
150 SHINGLE HILL RD
WEST HAVEN CT 06516

Officer/Director/Trustee Three

GERMAIN TADOH
TREASURER
392 E TREMONT AVE
NEW YORK NY 10457

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2012
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 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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