FORM 1023-EZ for SAFE HAVEN COMMUNITY CENTER INC

Field Data
EIN 85-1493534
Case Number EO-2020218-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE HAVEN COMMUNITY CENTER INC
Organization’s Mailing Address 3015 GLENSHIRE DR
City WINSTON SALEM
State NC
ZIP 27127
Accounting period End 12
Primary contact name WANDA REID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH ODOM
EXECUTIVE DIRECTOR
3015 GLENSHIRE DR
WINSTON SALEM NC 27127

Officer/Director/Trustee Two

GLORIA ODOM
PRESIDENT
3015 GLENSHIRE DR
WINSTON SALEM NC 27127

Officer/Director/Trustee Three

WILLIAM PARSON
VICE PRESIDENT
213 WINDING CEDAR DR
STATESVILLE NC 28677

Officer/Director/Trustee Four

WANDA REID
SECRETARY/TREASURER
3000 DRAPER CT
WINSTON SALEM NC 27105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KENNETH ODOM
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/3/2020

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