FORM 1023-EZ for PAST TO PRESENT SAFE HAVEN REFUGE INCORPORATED

Field Data
EIN 85-0865145
Case Number EO-2020133-000082
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAST TO PRESENT SAFE HAVEN REFUGE INCORPORATED
Organization’s Mailing Address 5724 BROOMALL ST
City PHILADELPHIA
State PA
ZIP 19143
Accounting period End 12
Primary contact name THEODORE PENDERGRASS II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RASHETA PADGETT
CEO
5724 BROOMALL ST
PHILADELPHIA PA 19143

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 RASHETA PADGETT
Signature Title CEO
Signature Date 5/8/2020

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