FORM 1023-EZ for ONE SAFE NIGHT INC

Field Data
EIN 85-2513351
Case Number EO-2020267-000311
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE SAFE NIGHT INC
Organization’s Mailing Address 8101 SANDY SPRING ROAD SUITE 300
City LAUREL
State MD
ZIP 20707
Accounting period End 12
Primary contact name SHEREEN D JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEREEN D JACKSON
PRESIDENT
8101 SANDY SPRING ROAD SUITE 300
LAUREL MD 20707

Officer/Director/Trustee Two

REV DR MICHALE DAVID HAYNESWORTH
BOARD MEMBER
6581 PENNSYLVANIA AVE APT 102
FORESTVILLE MD 20747

Officer/Director/Trustee Three

BRANDON R GORDON
BOARD MEMBER
9310 EDMONSTON ROAD APT 303
GREENBELT MD 20770

Officer/Director/Trustee Four

SYLVIA OWUSU
BOARD MEMBER
562 ODENDHAL AVE
GAITHERSBURG MD 20877

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2020
Organization Incorporation State MD
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: 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 SHEREEN D JACKSON
Signature Title PRESIDENT
Signature Date 9/21/2020

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