FORM 1023-EZ for HAVEN OF HOPE INC

Field Data
EIN 82-4728641
Case Number EO-2018109-000415
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAVEN OF HOPE INC
Organization’s Mailing Address 5 EXETER CT
City STERLING
State VA
ZIP 20165
Accounting period End 4
Primary contact name CRAIG J BALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRAIG BALL
DIRECTOR
5 EXETER CT
STERLING VA 20165

Officer/Director/Trustee Two

CAREN PAGE-BALL
TRUSTEE
5 EXETER CT
STERLING VA 20165

Officer/Director/Trustee Three

MERYL MCCOY
OFFICER
20903 RUNNYMEADE TERRICE 422
ASHBURN VA 20147

Officer/Director/Trustee Four

KRISTEN GIBSON
OFFICER
11522 OAKRISE ROAD
NEW KENT VA 23124

Officer/Director/Trustee Five

JEFFREY GIBSON
OFFICER
11522 OAKRISE ROAD
NEW KENT VA 23124

Organization’s website
Organization’s email HAVENOHOPELURAY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 CRAIG BALL
Signature Title DIRECTOR
Signature Date 4/16/18

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