FORM 1023-EZ for BROTHERHOOD HAVEN

Field Data
EIN 84-4553152
Case Number EO-2021083-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROTHERHOOD HAVEN
Organization’s Mailing Address 4055 ALBION STREET
City DENVER
State CO
ZIP 80216
Accounting period End 12
Primary contact name TAHANI LUQMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAHANI LUQMAN
PRESIDENT / DIRECTOR
4055 ALBION STREET
DENVER CO 80216

Officer/Director/Trustee Two

ALEXANDER GARLAND
TREASURER / DIRECTOR
4055 ALBION STREET
DENVER CO 80216

Officer/Director/Trustee Three

MARIKO LUQMAN
SECRETARY
4055 ALBION STREET
DENVER CO 80216

Officer/Director/Trustee Four

SHERYL RHEA
DIRECTOR
4055 ALBION STREET
DENVER CO 80216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O21 - Boys Clubs
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 TAHANI LUQMAN
Signature Title PRESIDENT / DIRECTOR
Signature Date 10/9/2020

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