FORM 1023-EZ for SAFE HAVEN OF WOONSOCKET INC

Field Data
EIN 84-2386853
Case Number EO-2019214-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE HAVEN OF WOONSOCKET INC
Organization’s Mailing Address 21 HOMESTEAD ROAD
City WOONSOCKET
State RI
ZIP 2895
Accounting period End 12
Primary contact name JOSEPH MORIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH MORIN
DIRECTOR
21 HOMESTEAD ROAD
WOONSOCKET RI 2895

Officer/Director/Trustee Two

OSCAR HANCOCK
DIRECTOR
10 OAKLEY ROAD
WOONSOCKET RI 2895

Officer/Director/Trustee Three

DENISE SPINK
DIRECTOR
11 BUXTON STREET
BURRILLVILLE RI 2830

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/19
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSEPH MORIN
Signature Title DIRECTOR
Signature Date 7/31/19

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