FORM 1023-EZ for SAFE HAVEN ENTERPRISE INCORPORATED

Field Data
EIN 83-3259277
Case Number EO-2019039-000734
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE HAVEN ENTERPRISE INCORPORATED
Organization’s Mailing Address 593 FORSYTHE AVE
City CALUMET CITY
State IL
ZIP 60409
Accounting period End 12
Primary contact name LORRAINE LOVETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORRAINE LOVETT
CEO
593 FORSYTHE AVE
CALUMET CITY IL 60409-4210

Officer/Director/Trustee Two

BARBARA DAVIS
MEMBER
1701 PORTAGE AVE
SOUTH BEND IN 46616

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 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 LORRAINE LOVETT
Signature Title CEO
Signature Date 2/5/19

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