FORM 1023-EZ for SAFE HAVEN OUTREACH COMMUNITY CENTER INC

Field Data
EIN 85-3501220
Case Number EO-2021083-000755
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE HAVEN OUTREACH COMMUNITY CENTER INC
Organization’s Mailing Address 158 BEAR CAMP RD LOT A
City IRWINTON
State GA
ZIP 31042
Accounting period End 9
Primary contact name TONY SANDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONY SANDERS
OFFICER
158 BEAR CAMP RD LOT A
IRWINTON GA 31042

Officer/Director/Trustee Two

ALISHA DAVIS
OFFICER
12 LARYN LANE
EASTMAN GA 31023

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 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 TONY SANDERS
Signature Title OFFICER
Signature Date 11/16/2020

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