FORM 1023-EZ for SINGLE PARENTS HAVEN INC

Field Data
EIN 87-2495067
Case Number EO-2021264-000533
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SINGLE PARENTS HAVEN INC
Organization’s Mailing Address 3961 FLOYD RD SUITE 300
City AUSTELL
State GA
ZIP 30106
Accounting period End 2
Primary contact name TENY DEGBEH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TENY DEGBEH
DIRECTOR
3961 FLOYD RD SUITE 300
AUSTELL GA 30106

Officer/Director/Trustee Two

GRACE LEROY
DIRECTOR
3961 FLOYD RD SUITE 300
AUSTELL GA 30106

Organization’s website
Organization’s email NATEN0@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2020
Organization Incorporation State GA
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: 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TENY DEGBEH
Signature Title DIRECTOR
Signature Date 9/19/2021

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