FORM 1023-EZ for THE SAFE HAVEN COMMUNITY CENTER

Field Data
EIN 46-4578755
Case Number EO-2015061-000211
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SAFE HAVEN COMMUNITY CENTER
Organization’s Mailing Address 748 NORTH LEAMINGTON
City CHICAGO
State IL
ZIP 60651
Accounting period End 12
Primary contact name WILLIE MILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BIRDENE MILLS
PRESIDENT AND DIRECTOR
802 S HOMAN
CHICAGO IL 60624

Officer/Director/Trustee Two

ANGEL BURL
SECRETARY AND DIRECTOR
1846 S TROY
CHICAGO IL 60623

Officer/Director/Trustee Three

TERESA BROWN
TREASURER AND DIRECTOR
851 N MASSASOIT
CHICAGO IL 60651

Officer/Director/Trustee Four

MELVIN DAVIS
DIRECTOR
221 S FORREST
HILLSIDE IL 60162

Officer/Director/Trustee Five

JOHNNIE BAYLARK
DIRECTOR
1961 CONCORD DR
DOWNERS GROVE IL 60576

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P33 - Child Day Care
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 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
Signature Title
Signature Date

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