FORM 1023-EZ for HAVEN HOME ABC INC

Field Data
EIN 84-1824613
Case Number EO-2019144-000132
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAVEN HOME ABC INC
Organization’s Mailing Address 7 EWAN TERRACE
City VINELAND
State NJ
ZIP 8360-3901
Accounting period End 12
Primary contact name NICHOLE CHANNEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLE CHANNEL
PRESIDENT
7 EWAN TERRACE
VINELAND NJ 8360-3901

Officer/Director/Trustee Two

BRITNEY LAFAITEY
SECRETARY
1169 HOLLY BERRY LANE
MILLVILLE NH 8332-4052

Officer/Director/Trustee Three

AUDREY CARTER
BOARD MEMBER
17 FOREST AVE
BRIDGETON NJ 8302-3848

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L01 - Alliance/Advocacy Organizations
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NICHOLE CHANNEL
Signature Title PRESIDENT
Signature Date 5/22/19

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